DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michele Mims	DOIID	637969	NAIC NPN	8740053

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/24/2017		1/31/2026
Active	Non Resident	Agent	Property	2/24/2017		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	1/3/2007	1/22/2008
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	1/3/2007	1/22/2008
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	1/3/2007	1/22/2008
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	1/3/2007	1/22/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/3/2007	1/22/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/3/2007	1/22/2008
Active	MAG Mutual Insurance Company	500011	Agent - Casualty	3/6/2017
Active	MAG Mutual Insurance Company	500011	Agent - Property	3/6/2017
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	1/3/2007	1/22/2008
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	1/3/2007	1/22/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/26/2007	1/22/2008
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/26/2007	1/22/2008