black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KORINA CLARK

PRODUCER NON-RESIDENT

License Number:
PRN399195
Status:
First Licensure:
10/09/2021
Cancel Date:
None

Mailing:
GREEN BAY, WI 54304
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
korina.clark@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/09/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
05/24/2023 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
07/22/2024 PCF640
BANKERS STANDARD INSURANCE COMPANY
07/22/2024 PCF152165
BRISTOL WEST INSURANCE COMPANY
06/05/2023 PCF78370
FEDERAL INSURANCE COMPANY
07/22/2024 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/05/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/17/2021 PCF116371
MIDVALE INDEMNITY COMPANY
10/17/2021 PCF79410
PERMANENT GENERAL ASSURANCE CORPORATION
12/20/2023 PCF232047 01/27/2025
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/09/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/09/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 10/09/2021 Active
PROPERTY 10/09/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18900745

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 06/28/2025 10:20:53 PM