DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Shelby	DOIID	1332010	NAIC NPN	21098905

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	3/27/2024		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	3/30/2024	5/16/2024
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	3/30/2024	5/16/2024
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	3/30/2024	5/16/2024
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	3/30/2024	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	4/4/2024	5/16/2024