DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clemmons, Autumn Sierra	DOIID	1361019	NAIC NPN	21318278

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	9/24/2024		6/30/2026
Active	Resident	Agent	Casualty	9/24/2024		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/25/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	9/25/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/25/2024