DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clutter, Donna Mae	DOIID	746464	NAIC NPN	16125329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/20/2011	11/30/2014
Inactive	Non Resident	Agent	Health	1/20/2011	11/30/2014
Inactive	Non Resident	Agent	Casualty	1/20/2011	11/30/2014
Inactive	Non Resident	Agent	Property	1/20/2011	11/30/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/2/2014	12/30/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/2/2014	12/30/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/1/2013	11/30/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/1/2013	11/30/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/1/2013	11/30/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/1/2013	11/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VHA Central Ins Services LLC	773533	Agent - Casualty	1/27/2012	11/30/2014
Inactive	VHA Central Ins Services LLC	773533	Agent - Health	1/27/2012	11/30/2014
Inactive	VHA Central Ins Services LLC	773533	Agent - Life	1/27/2012	11/30/2014
Inactive	VHA Central Ins Services LLC	773533	Agent - Property	1/27/2012	11/30/2014