DEPARTMENT OF INSURANCE

Affiliations

Name	Clemens, Carolyn Noreen	DOIID	364335	NAIC NPN	3239851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/11/1986		4/30/2025
Active	Resident	Agent	Property	8/15/2000		4/30/2025
Active	Resident	Agent	Casualty	8/15/2000		4/30/2025
Active	Resident	Agent	Life	8/11/1986		4/30/2025
Inactive	Resident	Agent	General Lines	7/12/2000	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	6/23/2015	11/30/2022
Active	Atlantic Coast Life Insurance Company	642114	Agent - Health	8/23/2017
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	8/23/2017
Inactive	Everly Life Insurance Company	561641	Agent - Life	1/6/2017	11/14/2018
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/9/2013	2/12/2018
Inactive	Forethought Life Insurance Company	301407	Agent - Life	3/25/2014	12/29/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/3/2006	6/9/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/3/2006	6/9/2008
Active	Great Western Insurance Company	501693	Agent - Life	10/9/2017
Inactive	Homesteaders Life Company	300836	Agent - Life	12/27/2017	4/29/2019
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	10/24/2011	2/25/2013
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - General Lines	7/12/2000	7/12/2000
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	10/24/2011	2/25/2013
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/16/2015	12/20/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/10/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/10/2021
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/28/2014	10/25/2017
Active	National Guardian Life Insurance Company	300596	Agent - Life	12/30/2016
Active	National Western Life Insurance Company	301515	Agent - Life	6/3/2013
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/26/2013	7/8/2015
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/13/2013	7/8/2015
Active	Southern Financial Life Insurance Company	300664	Agent - Life	10/26/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/2/2010	10/29/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/2/2010	10/29/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/12/2010	9/18/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/12/2010	9/18/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Legacy Planning And Solutions LLC	809055	Agent - Life	5/3/2013
Active	Legacy Planning And Solutions LLC	809055	Agent - Health	5/3/2013