DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clements, Priscilla E	DOIID	1012109	NAIC NPN	3702293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/26/2018		12/31/2024
Active	Non Resident	Agent	Property	9/26/2018		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/28/2018		12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/5/2018
Active	Zurich American Insurance Company	301121	Agent - Property	10/5/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	10/22/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	10/22/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Surplus Lines Broker - Not Applicable	10/22/2018	1/7/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	2/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	2/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	2/1/2020