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
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Life	2/1/2000		4/30/2026
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Health	2/1/2000		4/30/2026
Inactive	Resident	Agent	General Lines	1/25/2000	8/15/2000
* 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	02/15/2026	04/30/2026

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 Modern Select Insurance Company	581481	Agent - Casualty	11/9/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	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	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
Active	Clark Agency, Inc.	706798	Agent - Life	6/1/2009
Active	Clark Agency, Inc.	706798	Agent - Health	6/1/2009
Active	Clark Agency, Inc.	706798	Agent - Property	6/1/2009
Active	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