DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Beth Ann	DOIID	367180	NAIC NPN	7198979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/14/2006	3/31/2021
Inactive	Resident	Agent	General Lines	10/28/1999	8/15/2000
Inactive	Resident	Agent	Life	11/14/2006	3/31/2021
Inactive	Resident	Agent	Property	8/15/2000	3/31/2021
Inactive	Resident	Agent	Casualty	8/15/2000	3/31/2021
* 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 Modern Home Insurance Company	300791	Agent - Casualty	1/24/2017	3/31/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/24/2017	3/31/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/24/2019	3/31/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/24/2019	3/31/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/11/2016	3/31/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/11/2016	3/31/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/15/2016	3/31/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/15/2016	3/31/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	9/26/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	9/26/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/6/2006	3/31/2021
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	7/12/2019
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	10/28/1999	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Health	11/14/2006	7/12/2019
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	7/12/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/6/2006	9/26/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/6/2006	9/26/2019
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	7/12/2019
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/14/2006	7/12/2019
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	7/12/2019
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/14/2006	7/12/2019
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/14/2006	7/12/2019
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beth A. Clemons Insurance, Inc.	646233	Agent - Property	12/13/2006	3/31/2020
Inactive	Beth A. Clemons Insurance, Inc.	646233	Agent - Casualty	12/13/2006	3/31/2020
Inactive	Beth A. Clemons Insurance, Inc.	646233	Agent - Health	12/13/2006	3/31/2020
Inactive	Beth A. Clemons Insurance, Inc.	646233	Agent - Life	12/13/2006	3/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	7/12/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	7/12/2019
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/4/2006	7/12/2019
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/4/2006	7/12/2019
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/4/2006	7/12/2019
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/4/2006	7/12/2019
Inactive	Michael R Fannin Insurance, Inc.	502149	Agent - Property	1/14/2004	1/23/2007
Inactive	Michael R Fannin Insurance, Inc.	502149	Agent - Casualty	1/14/2004	1/23/2007