DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clem, Mitchell	DOIID	1023999	NAIC NPN	1283153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/31/2018		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Life	10/9/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/22/2025	8/18/2025
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/22/2023	6/25/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/8/2019	6/18/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/5/2020	5/8/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/21/2021	12/21/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/4/2019	10/1/2020
Inactive	United American Insurance Company	300910	Agent - Life	1/17/2023	6/28/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024