DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, William Courtney	DOIID	500537	NAIC NPN	7210566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	1/25/2000	8/15/2000
Pending Replacement	Resident	Agent	Property	8/15/2000		4/30/2026
Pending Replacement	Resident	Agent	Health	2/1/2000		4/30/2026
Pending Replacement	Resident	Agent	Life	2/1/2000		4/30/2026
Pending Replacement	Resident	Agent	Casualty	8/15/2000		4/30/2026
* 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
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/9/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/9/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/9/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/9/2015	11/14/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	6/22/2020	4/28/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/22/2020	4/28/2025
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	8/15/2000	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - General Lines	7/14/2000	8/15/2000
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	8/15/2000	6/17/2005
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/2/2006	3/26/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/19/2006	9/28/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/19/2006	9/28/2017
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/15/2008	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/15/2008	12/29/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/6/2011	4/28/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/6/2011	4/28/2025
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/6/2011	12/2/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/6/2011	12/2/2013
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000	4/30/2025
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	1/25/2000	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/15/2000	4/30/2025
Inactive	Shelter Life Insurance Company	300391	Agent - Health	2/1/2000	4/30/2025
Inactive	Shelter Life Insurance Company	300391	Agent - Life	2/1/2000	4/30/2025
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000	4/30/2025
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	1/25/2000	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000	4/30/2025
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	11/9/2015	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	11/9/2015	11/14/2021
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/6/2011	4/28/2025
Inactive	United Financial Casualty Company	301886	Agent - Property	5/6/2011	4/28/2025
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Clark Agency, Inc.	706798	Agent - Life	6/1/2009
Pending Replacement	Clark Agency, Inc.	706798	Agent - Health	6/1/2009
Pending Replacement	Clark Agency, Inc.	706798	Agent - Property	6/1/2009
Pending Replacement	Clark Agency, Inc.	706798	Agent - Casualty	6/1/2009
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001	4/30/2025
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001	4/30/2025
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	8/15/2000	4/30/2025
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	8/15/2000	4/30/2025