DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Gregory Lynn	DOIID	315940	NAIC NPN	1491525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	2/5/2008	8/1/2009
Inactive	Resident	Agent	Life	11/2/2007	8/1/2009
Inactive	Resident	Agent	Health	11/2/2007	8/1/2009
Inactive	Resident	Agent	Property	11/2/2007	8/1/2009
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/29/2003	7/31/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/29/2003	7/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/2/2007	7/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/2/2007	7/31/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	8/8/2005	7/31/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	8/8/2005	7/31/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	7/8/2008	8/1/2009
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	5/30/2008	12/8/2008
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	5/30/2008	12/8/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/11/2004	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/11/2004	4/1/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/23/2002	5/28/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/23/2002	5/28/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Life	11/13/2007	8/1/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/1/2009
Inactive	EMC National Life Company	300388	Agent - Health	11/21/2007	10/7/2008
Inactive	EMC National Life Company	300388	Agent - Life	11/21/2007	10/7/2008
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	6/17/2008	10/10/2008
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	6/17/2008	10/10/2008
Inactive	Federal Home Life Insurance Company	301302	Agent - Health	12/22/1997	12/28/1998
Inactive	Federal Home Life Insurance Company	301302	Agent - Life	12/22/1997	12/28/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	9/17/2004	7/31/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/17/2004	7/31/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/30/1997	3/16/2000
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/30/1997	3/16/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/4/2002	7/31/2007
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/4/2002	7/31/2007
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	6/17/2008	10/10/2008
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	6/17/2008	10/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/28/2008	8/1/2009
Inactive	Humana Insurance Company	301104	Agent - Health	4/28/2008	8/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/28/2008	8/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/28/2008	8/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/28/2008	8/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	7/28/2008	8/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Property	7/28/2008	8/1/2009
Inactive	Modern Woodmen of America	301213	Agent - Life	4/9/1998	6/18/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/22/2003	7/31/2007
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/22/2003	7/31/2007
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	12/12/2007	8/1/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/12/2007	8/1/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	7/31/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	7/31/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/7/2003	1/21/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/7/2003	1/21/2004
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/23/2002	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	12/23/2002	7/18/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	4/23/2008	8/1/2009
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/23/2008	8/1/2009
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/24/2005	12/20/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	11/3/2004	12/29/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	12/11/1995	4/27/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eaves Insurance Benefits, LLC	586619	Agent - Life	5/27/2008	7/2/2009
Inactive	Eaves Insurance Benefits, LLC	586619	Agent - Health	5/27/2008	7/2/2009
Inactive	Eaves Insurance Benefits, LLC	586619	Agent - Casualty	5/30/2008	7/2/2009
Inactive	Eaves Insurance Benefits, LLC	586619	Agent - Property	5/30/2008	7/2/2009
Inactive	Eaves Insurance Inc.	398894	Agent - Life		11/14/2007
Inactive	Eaves Insurance Inc.	398894	Agent - Health		11/14/2007
Denied	Eaves Insurance Inc.	398894	Agent - Property