DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wise, Clifton Thomas	DOIID	1228076	NAIC NPN	11656898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/7/2022		8/31/2026
Active	Non Resident	Agent	Life	9/7/2022		8/31/2026
* 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	06/15/2024	08/31/2024	07/12/2024	07/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AAA Life Insurance Company	300287	Agent - Health	9/8/2022
Active	AAA Life Insurance Company	300287	Agent - Life	9/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aaa Life Agency LLC	1063780	Agent - Life	3/7/2023
Active	Aaa Life Agency LLC	1063780	Agent - Health	3/7/2023
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	9/8/2022
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Health	9/8/2022