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.

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
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/22/2025
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
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/21/2021	3/24/2025

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