DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keith, Clarissa Sharon	DOIID	362852	NAIC NPN	7197116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Credit Life & Health	2/19/1998	8/7/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Assurance Company	300586	Agent - Limited Line Credit	3/21/2005	12/31/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/19/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	11/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cumberland Security Bank	399075	Agent - Limited Line Credit	1/14/2004	7/20/2006
Inactive	Farmers National Bank	400890	Agent - Limited Line Credit	10/25/2005	3/31/2022