DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clemente, Donna	DOIID	1058089	NAIC NPN	332525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/26/2019		7/31/2025
Active	Non Resident	Agent	Health	9/26/2019		7/31/2025
* 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 - Health	12/8/2020
Active	American General Life Insurance Company	301585	Agent - Life	12/8/2020
Active	Thrivent Financial for Lutherans	301101	Agent - Health	5/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chernoff Diamond & Co LLC	691341	Agent - Life	2/24/2021
Active	Chernoff Diamond & Co LLC	691341	Agent - Health	11/9/2021