DEPARTMENT OF INSURANCE
Affiliations
NameClements, Gerald WDOIID308331NAIC NPN7159326
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCasualty8/15/200012/31/2021 
InactiveResidentAgentHealth1/24/199112/31/2021 
InactiveResidentAgentLife1/24/199112/31/2021 
InactiveResidentAgentProperty8/15/200012/31/2021 
InactiveResidentAgentGeneral Lines10/14/19888/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty4/24/20063/26/2010
InactiveAIG Assurance Company300897Agent - Property4/24/20063/26/2010
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines8/15/199412/30/1999
InactiveAmerican Economy Insurance Company300315Agent - Casualty9/3/201012/31/2021
InactiveAmerican Economy Insurance Company300315Agent - General Lines11/1/19988/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property9/3/201012/31/2021
InactiveAmerican Fire and Casualty Company300567Agent - Casualty9/3/201010/15/2021
InactiveAmerican Fire and Casualty Company300567Agent - Property9/3/201010/15/2021
InactiveAmerican General Life Insurance Company301585Agent - Health11/24/201010/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life11/24/201010/25/2012
InactiveAmerican States Insurance Company301230Agent - Casualty9/3/201010/15/2021
InactiveAmerican States Insurance Company301230Agent - General Lines11/1/19988/15/2000
InactiveAmerican States Insurance Company301230Agent - Property9/3/201010/15/2021
InactiveAmerican States Life Insurance Company301884Agent - Health1/24/19914/27/1998
InactiveAmerican States Life Insurance Company301884Agent - Life1/24/19914/27/1998
InactiveAmerican States Preferred Insurance Company300609Agent - General Lines1/24/19914/27/1998
InactiveAnthem Life Insurance Company301209Agent - Health8/11/19933/31/2000
InactiveAnthem Life Insurance Company301209Agent - Life8/11/19933/31/2000
InactiveAssurance Company of America300432Agent - General Lines8/9/19933/31/1996
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Casualty5/2/201412/31/2021
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Property5/2/201412/31/2021
InactiveBanner Life Insurance Company301696Agent - Life3/29/20138/4/2016
InactiveBristol West Insurance Company301655Agent - Casualty9/28/200911/25/2014
InactiveBristol West Insurance Company301655Agent - Property9/28/200911/25/2014
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines4/25/19973/31/1998
InactiveClarendon National Insurance Company300843Agent - General Lines4/3/19893/31/1998
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/4/19973/31/1998
InactiveConsolidated Insurance Company300943Agent - Casualty9/3/201012/31/2021
InactiveConsolidated Insurance Company300943Agent - General Lines3/2/19988/15/2000
InactiveConsolidated Insurance Company300943Agent - Property9/3/201012/31/2021
InactiveContinental Casualty Company301019Agent - Health1/26/199412/30/1999
InactiveContinental Insurance Company (The)301242Agent - General Lines2/5/199712/30/1999
InactiveFarmers Casualty Insurance Company301616Agent - Casualty2/10/201212/31/2021
InactiveFarmers Casualty Insurance Company301616Agent - Property2/10/201212/31/2021
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty2/10/201212/29/2021
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property2/10/201212/29/2021
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty2/10/201212/31/2021
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property2/10/201212/31/2021
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/3/199712/31/1999
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines2/4/19973/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Health11/20/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life11/20/20031/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty9/3/201010/15/2021
InactiveFirst National Insurance Company of America301690Agent - General Lines2/27/19918/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property9/3/201010/15/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/29/200311/25/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/29/200311/25/2014
InactiveGeneral Insurance Company of America300261Agent - Casualty8/15/200010/15/2021
InactiveGeneral Insurance Company of America300261Agent - General Lines2/27/19918/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property8/15/200010/15/2021
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health6/22/20121/5/2015
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life6/22/20121/5/2015
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/4/199712/30/1999
InactiveGrange Indemnity Insurance Company300793Agent - Casualty2/20/200112/31/2021
InactiveGrange Indemnity Insurance Company300793Agent - Property2/20/200112/31/2021
InactiveGrange Insurance Company300234Agent - Casualty2/20/200112/31/2021
InactiveGrange Insurance Company300234Agent - Property2/20/200112/31/2021
InactiveGrange Life Insurance Company300128Agent - Health2/20/20013/31/2021
InactiveGrange Life Insurance Company300128Agent - Life2/20/200112/28/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty11/26/200712/31/2021
InactiveGrange Property & Casualty Insurance Company601680Agent - Property11/26/200712/31/2021
InactiveGranite State Insurance Company300818Agent - Casualty4/24/20063/26/2010
InactiveGranite State Insurance Company300818Agent - Property4/24/20063/26/2010
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/15/200011/5/2008
InactiveHartford Accident and Indemnity Company301917Agent - General Lines12/27/19998/15/2000
InactiveHartford Accident and Indemnity Company301917Agent - Property8/15/200011/5/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty8/15/200011/10/2009
InactiveHartford Casualty Insurance Company301332Agent - General Lines12/27/19998/15/2000
InactiveHartford Casualty Insurance Company301332Agent - Property8/15/200011/10/2009
InactiveHartford Fire Insurance Company300628Agent - Casualty8/15/200011/10/2009
InactiveHartford Fire Insurance Company300628Agent - General Lines12/27/19998/15/2000
InactiveHartford Fire Insurance Company300628Agent - Property8/15/200011/10/2009
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty8/15/200011/10/2009
InactiveHartford Insurance Company of the Midwest301918Agent - General Lines12/27/19998/15/2000
InactiveHartford Insurance Company of the Midwest301918Agent - Property8/15/200011/10/2009
InactiveHartford Underwriters Insurance Company301064Agent - Casualty8/15/200011/10/2009
InactiveHartford Underwriters Insurance Company301064Agent - General Lines10/14/19888/15/2000
InactiveHartford Underwriters Insurance Company301064Agent - Property8/15/200011/10/2009
InactiveIllinois National Insurance Company301367Agent - Casualty1/11/20073/26/2010
InactiveIllinois National Insurance Company301367Agent - Property1/11/20073/26/2010
InactiveIndiana Insurance Company301909Agent - Casualty9/3/201012/31/2021
InactiveIndiana Insurance Company301909Agent - General Lines3/2/19988/15/2000
InactiveIndiana Insurance Company301909Agent - Property9/3/201012/31/2021
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/199712/30/1999
InactiveMICO Insurance Company301664Agent - Casualty8/31/200612/13/2011
InactiveMICO Insurance Company301664Agent - Property8/31/200612/13/2011
InactiveMaryland Casualty Company301719Agent - General Lines8/10/19933/31/1996
InactiveMetropolitan General Insurance Company300709Agent - Casualty2/10/201212/30/2013
InactiveMetropolitan General Insurance Company300709Agent - Property2/10/201212/30/2013
InactiveMotorists Mutual Insurance Company300963Agent - Casualty6/16/20031/1/2017
InactiveMotorists Mutual Insurance Company300963Agent - Property6/16/20031/1/2017
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/15/200010/7/2002
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines8/15/19948/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/15/200010/7/2002
InactiveNetherlands Insurance Company (The)300339Agent - Casualty9/3/201012/31/2021
InactiveNetherlands Insurance Company (The)300339Agent - General Lines3/2/19988/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Property9/3/201012/31/2021
InactiveOhio Casualty Insurance Company301492Agent - Casualty9/3/201012/31/2021
InactiveOhio Casualty Insurance Company301492Agent - Property9/3/201012/31/2021
InactiveOhio Security Insurance Company300622Agent - Casualty9/3/201012/31/2021
InactiveOhio Security Insurance Company300622Agent - Property9/3/201012/31/2021
InactivePeerless Indemnity Insurance Company571682Agent - Casualty9/3/201012/31/2021
InactivePeerless Indemnity Insurance Company571682Agent - Property9/3/201012/31/2021
InactivePeerless Insurance Company301910Agent - Casualty9/3/201012/31/2021
InactivePeerless Insurance Company301910Agent - General Lines3/2/19988/15/2000
InactivePeerless Insurance Company301910Agent - Property9/3/201012/31/2021
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20073/26/2010
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20073/26/2010
InactivePruco Life Insurance Company300954Agent - Health3/30/200712/23/2014
InactivePruco Life Insurance Company300954Agent - Life3/30/200712/23/2014
InactiveReassure America Life Insurance Company301902Agent - Health6/24/19999/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life6/24/19999/3/2004
InactiveSAFECO Insurance Company of America300159Agent - Casualty9/3/201012/31/2021
InactiveSAFECO Insurance Company of America300159Agent - General Lines2/27/19918/15/2000
InactiveSAFECO Insurance Company of America300159Agent - Property9/3/201012/31/2021
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty9/3/201012/31/2021
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines2/27/19918/15/2000
InactiveSAFECO Insurance Company of Illinois301350Agent - Property9/3/201012/31/2021
InactiveSAFECO National Insurance Company300989Agent - Casualty8/15/20001/1/2006
InactiveSAFECO National Insurance Company300989Agent - General Lines2/12/19928/15/2000
InactiveSAFECO National Insurance Company300989Agent - Property8/15/20001/1/2006
InactiveSentinel Insurance Company, Limited501696Agent - Casualty3/12/200511/10/2009
InactiveSentinel Insurance Company, Limited501696Agent - Property3/12/200511/10/2009
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life4/2/201212/19/2014
InactiveTime Insurance Company300683Agent - Health8/7/200212/10/2004
InactiveTime Insurance Company300683Agent - Life8/7/200212/10/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health10/11/19968/17/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life10/11/19968/17/2005
InactiveTranscontinental Insurance Company301731Agent - General Lines8/15/19943/31/1998
InactiveTransportation Insurance Company301575Agent - General Lines8/15/19943/31/1998
InactiveTrustgard Insurance Company300104Agent - Casualty2/20/200112/31/2021
InactiveTrustgard Insurance Company300104Agent - Property2/20/200112/31/2021
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/15/200011/10/2009
InactiveTwin City Fire Insurance Company300721Agent - General Lines10/14/19888/15/2000
InactiveTwin City Fire Insurance Company300721Agent - Property8/15/200011/10/2009
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/6/20069/26/2007
InactiveValley Forge Insurance Company301052Agent - General Lines8/15/19943/31/1998
InactiveWest American Insurance Company301112Agent - Casualty9/3/201012/31/2021
InactiveWest American Insurance Company301112Agent - Property9/3/201012/31/2021
InactiveWest Coast Life Insurance Company301607Agent - Health11/6/200811/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life11/6/200811/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBroad Street Brokerage Insurance Agency, LLC540067Agent - Life4/11/201212/28/2020
InactiveBroad Street Brokerage Insurance Agency, LLC540067Agent - Health4/11/20123/31/2021
InactiveDesignated Agent Company Inc.681257Agent - Life12/11/201312/28/2020
InactiveDesignated Agent Company Inc.681257Agent - Health12/11/20133/31/2021
InactiveFrench Kiesler & Odonnell Insurance Agency Inc.400982Agent - Life4/19/200112/28/2020
InactiveFrench Kiesler & Odonnell Insurance Agency Inc.400982Agent - Health2/26/20033/31/2021
InactiveFrench Kiesler & Odonnell Insurance Agency Inc.400982Agent - Property2/26/200312/31/2021
InactiveFrench Kiesler & Odonnell Insurance Agency Inc.400982Agent - Casualty2/26/200312/31/2021
InactiveJohnson-Lawrence-Walker Insurance Agency Inc.399168Agent - Health4/19/20013/31/2021
InactiveJohnson-Lawrence-Walker Insurance Agency Inc.399168Agent - Property8/15/200012/31/2021
InactiveJohnson-Lawrence-Walker Insurance Agency Inc.399168Agent - Casualty8/15/200012/31/2021
InactiveThoroughbred Associates Inc.399133Agent - General Lines3/6/19918/15/2000
InactiveThoroughbred Associates Inc.399133Agent - Life3/6/19911/16/2001
InactiveThoroughbred Associates Inc.399133Agent - Health3/6/19911/16/2001

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