DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jordan	DOIID	1340048	NAIC NPN	20615846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	5/13/2024		10/31/2026
Pending Replacement	Non Resident	Agent	Casualty	5/13/2024		10/31/2026
Pending Replacement	Non Resident	Agent	Property	5/13/2024		10/31/2026
Pending Replacement	Non Resident	Agent	Health	5/13/2024		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/10/2025
Pending Replacement	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/10/2025
Pending Replacement	Auto-Owners Insurance Company	301480	Agent - Casualty	5/21/2024
Pending Replacement	Auto-Owners Insurance Company	301480	Agent - Property	5/21/2024
Pending Replacement	Auto-Owners Life Insurance Company	301368	Agent - Health	5/21/2024
Pending Replacement	Auto-Owners Life Insurance Company	301368	Agent - Life	5/21/2024
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/16/2025	10/24/2026
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/16/2025	10/24/2026
Pending Replacement	Owners Insurance Company	300796	Agent - Casualty	5/21/2024
Pending Replacement	Owners Insurance Company	300796	Agent - Property	5/21/2024
Pending Replacement	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/16/2025
Pending Replacement	Standard Fire Insurance Company (The)	301068	Agent - Property	9/16/2025
Pending Replacement	The Phoenix Insurance Company	301502	Agent - Casualty	9/16/2025
Pending Replacement	The Phoenix Insurance Company	301502	Agent - Property	9/16/2025
Pending Replacement	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/16/2025
Pending Replacement	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/16/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Diversified Insurance Incorporated	1317142	Agent - Casualty	4/28/2026
Pending Replacement	Diversified Insurance Incorporated	1317142	Agent - Life	4/28/2026
Pending Replacement	Diversified Insurance Incorporated	1317142	Agent - Health	4/28/2026
Pending Replacement	Diversified Insurance Incorporated	1317142	Agent - Property	4/28/2026