DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jeffery	DOIID	1365396	NAIC NPN	21341293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	10/23/2024	6/30/2028
Active	Resident	Agent	Life	10/16/2024	6/30/2028
Active	Resident	Agent	Property	10/31/2024	6/30/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	7/23/2026
Active	American Economy Insurance Company	300315	Agent - Property	7/23/2026
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/31/2024	12/23/2025
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/31/2024	12/23/2025
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/28/2024	12/23/2025
Active	Countryway Insurance Company	300809	Agent - Casualty	5/4/2026
Active	Countryway Insurance Company	300809	Agent - Property	5/4/2026
Active	Erie Family Life Insurance Company	301400	Agent - Life	3/5/2026
Active	Erie Insurance Company	300230	Agent - Casualty	3/5/2026
Active	Erie Insurance Company	300230	Agent - Property	3/5/2026
Active	Erie Insurance Company of New York	789916	Agent - Casualty	3/5/2026
Active	Erie Insurance Company of New York	789916	Agent - Property	3/5/2026
Active	Erie Insurance Exchange	300789	Agent - Casualty	3/5/2026
Active	Erie Insurance Exchange	300789	Agent - Property	3/5/2026
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	3/5/2026
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	3/5/2026
Active	Flagship City Insurance Company	789965	Agent - Casualty	3/5/2026
Active	Flagship City Insurance Company	789965	Agent - Property	3/5/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/11/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/11/2026
Active	Integon General Insurance Corporation	301186	Agent - Casualty	4/24/2026
Active	Integon General Insurance Corporation	301186	Agent - Property	4/24/2026
Active	National General Insurance Company	300152	Agent - Casualty	4/24/2026
Active	National General Insurance Company	300152	Agent - Property	4/24/2026
Active	Next Insurance US Company	1083825	Agent - Casualty	4/2/2026
Active	Next Insurance US Company	1083825	Agent - Property	4/2/2026
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/9/2026
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/9/2026
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/31/2024	12/23/2025
Inactive	Owners Insurance Company	300796	Agent - Property	10/31/2024	12/23/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/6/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/6/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/4/2026
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/4/2026
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/4/2026
Active	United Financial Casualty Company	301886	Agent - Casualty	11/6/2024
Active	United Financial Casualty Company	301886	Agent - Property	11/6/2024
Inactive	West Bend Insurance Company	672974	Agent - Casualty	4/10/2025	7/13/2026
Inactive	West Bend Insurance Company	672974	Agent - Property	4/10/2025	7/13/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Community First Insurance, Inc.	1195563	Agent - Casualty	2/4/2026
Active	Community First Insurance, Inc.	1195563	Agent - Life	2/4/2026
Active	Community First Insurance, Inc.	1195563	Agent - Property	2/4/2026