DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Michelle	DOIID	516130	NAIC NPN	3114590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/5/2000	11/30/2006
Inactive	Non Resident	Agent	Casualty	10/5/2000	11/30/2006
* 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	Continental Casualty Company	301019	Agent - Casualty	11/17/2004	6/23/2005
Inactive	Continental Casualty Company	301019	Agent - Property	11/17/2004	6/23/2005
Inactive	GEICO Indemnity Company	301720	Agent - Casualty	10/5/2000	4/2/2004
Inactive	GEICO Indemnity Company	301720	Agent - Property	10/5/2000	4/2/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/21/2004	4/2/2004
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/21/2004	4/2/2004