DEPARTMENT OF INSURANCE

Affiliations

Name	Clark Insurance Agency, LLC	DOIID	1369710	NAIC NPN	21282917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/29/2024	3/31/2026
Active	Non Resident	Agent	Property	10/29/2024	3/31/2026
Denied	Non Resident	Agent	Personal Lines
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Life
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	7/3/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	7/3/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	7/3/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	7/3/2025
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/18/2025
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/18/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	7/3/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Property	7/3/2025
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	7/3/2025
Active	Hanover Insurance Company (The)	300508	Agent - Property	7/3/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/3/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	7/3/2025
Active	Next Insurance US Company	1083825	Agent - Casualty	5/7/2025
Active	Next Insurance US Company	1083825	Agent - Property	5/7/2025
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/18/2025
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/18/2025
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/18/2025
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/18/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/18/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/18/2025
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/18/2025
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/18/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/18/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/18/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark, Kacy Lee	1015459	Agent - Casualty	10/29/2024
Active	Clark, Kacy Lee	1015459	Agent - Property	10/29/2024