DEPARTMENT OF INSURANCE
Affiliations
NameClement, David NoelDOIID340685NAIC NPN3550297
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdjusterIndependent3/31/19943/31/1996 
ActiveResidentAgentProperty1/3/2020 12/31/2025
ActiveResidentAgentHealth1/3/2020 12/31/2025
ActiveResidentAgentLife1/3/2020 12/31/2025
ActiveResidentAgentCasualty1/3/2020 12/31/2025
DeniedResidentAgentVariable Life and Variable Annuities   
InactiveResidentAgentGeneral Lines12/23/19988/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/16/20069/7/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/16/20069/7/2012
InactiveNassau Life Insurance Company301406Agent - Life6/5/200212/14/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities6/5/200212/14/2004
DeniedNassau Life and Annuity Company513671Agent - Life  
DeniedNassau Life and Annuity Company513671Agent - Variable Life and Variable Annuities  
InactivePHL Variable Insurance Company300525Agent - Life1/2/20081/31/2013
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities1/2/20081/31/2013
ActiveState Farm Fire and Casualty Company301809Agent - Casualty1/10/2020 
InactiveState Farm Fire and Casualty Company301809Agent - General Lines12/23/19988/15/2000
ActiveState Farm Fire and Casualty Company301809Agent - Property1/10/2020 
InactiveState Farm General Insurance Company301122Agent - Casualty8/15/200011/19/2010
InactiveState Farm General Insurance Company301122Agent - General Lines12/23/19988/15/2000
InactiveState Farm General Insurance Company301122Agent - Property8/15/200011/19/2010
ActiveState Farm Life Insurance Company301810Agent - Life1/10/2020 
InactiveState Farm Life Insurance Company301810Agent - Variable Life and Variable Annuities5/31/20011/1/2020
ActiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty1/10/2020 
InactiveState Farm Mutual Automobile Insurance Company301732Agent - General Lines12/23/19988/15/2000
ActiveState Farm Mutual Automobile Insurance Company301732Agent - Health1/10/2020 
InactiveTime Insurance Company300683Agent - Health1/5/20018/5/2016
InactiveTime Insurance Company300683Agent - Life1/5/20018/5/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsurance Placement Services Inc.519096Agent - Health4/12/20012/25/2004
InactiveState Farm Mutual Automobile Insurance Company301732Adjuster - Independent3/31/19943/31/1996

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