black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAVIER CLARK

PRODUCER NON-RESIDENT

License Number:
PRN449177
Status:
First Licensure:
04/14/2023
Cancel Date:
None

Mailing:
ROCK HILL, SC 29730
Phone:
+1 (864) 586-9351
Fax:
+1 (813) 984-3201
Email:
jayrclark1996@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/14/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE BALDWIN GROUP PERSONAL INSURANCE, LLC
03/14/2024 AGN354651
TZ INSURANCE SOLUTIONS LLC
01/23/2024 AGN177169 02/27/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
04/22/2024 PCF258492
AMH HEALTH PLANS OF MAINE, INC.
04/14/2023 LHD353013 03/05/2024
AMH HEALTH, LLC
04/14/2023 HMD329485 03/05/2024
ANTHEM HEALTH PLANS OF MAINE INC.
04/14/2023 LHD70566 03/05/2024
ANTHEM INSURANCE COMPANIES INC
04/14/2023 LHF125537 03/05/2024
BRISTOL WEST INSURANCE COMPANY
05/06/2024 PCF78370
THE CINCINNATI CASUALTY COMPANY
04/24/2024 PCF137248
THE CINCINNATI INSURANCE COMPANY
04/24/2024 PCF989
COLONIAL PENN LIFE INSURANCE COMPANY
12/08/2023 LHF143
EMPIRE HEALTHCHOICE HMO, INC.
04/14/2023 HMF285382 03/05/2024
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/06/2024 PCF445
INTEGON PREFERRED INSURANCE COMPANY
11/13/2024 PCF873
NATIONWIDE MUTUAL INSURANCE COMPANY
04/09/2024 PCF32
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
05/20/2024 PCF27738

Authority

Description Issue Date Termination Date Status
HEALTH 04/14/2023 Active
LIFE 04/14/2023 Active
PERSONAL LINES 04/09/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19587087

Other Addresses

Address Type
7910 MICROSOFT WAY
CHARLOTTE, NC 28273-8110
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/20/2025 07:52:33 PM