DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clayton, Scott	DOIID	512790	NAIC NPN	5931204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/4/2000	1/31/2006
Inactive	Non Resident	Agent	Life	8/4/2000	1/31/2006
* 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	C.M. Life Insurance Company	301335	Agent - Health	10/8/2001	1/31/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/8/2001	1/31/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/4/2000	1/31/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/4/2000	1/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	1/14/2003	1/31/2006
Inactive	Medlink Inc	400721	Agent - Health	1/14/2003	1/31/2006