DEPARTMENT OF INSURANCE
Affiliations
NameClemons, Daniel ThomasDOIID533177NAIC NPN7218264
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth7/28/20034/26/2007 
InactiveResidentAgentProperty7/28/20034/26/2007 
InactiveResidentAgentVariable Life and Variable Annuities6/8/20044/26/2007 
InactiveResidentAgentCasualty7/28/20034/26/2007 
InactiveResidentAgentLife7/28/20034/26/2007 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/18/20015/24/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/18/20015/24/2003
InactiveAllstate Indemnity Company300778Agent - Casualty8/4/20031/26/2007
InactiveAllstate Indemnity Company300778Agent - Property8/4/20031/26/2007
InactiveAllstate Insurance Company300773Agent - Casualty8/4/20031/26/2007
InactiveAllstate Insurance Company300773Agent - Property8/4/20031/26/2007
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty8/12/20051/26/2007
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property8/12/20051/26/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/17/20012/26/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/17/20012/26/2003
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/15/20033/5/2007
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/15/20033/5/2007
InactiveAmeritas Life Insurance Corporation300126Agent - Health8/12/20041/31/2007
InactiveAmeritas Life Insurance Corporation300126Agent - Life8/12/20041/31/2007
InactiveAnthem Life Insurance Company301209Agent - Health2/24/20074/26/2007
InactiveAnthem Life Insurance Company301209Agent - Life2/24/20074/26/2007
InactiveBankers Life and Casualty Company300701Agent - Health1/23/20075/1/2007
InactiveBankers Life and Casualty Company300701Agent - Life1/23/20075/1/2007
InactiveBoston Mutual Life Insurance Company300143Agent - Health9/6/20025/24/2003
InactiveBoston Mutual Life Insurance Company300143Agent - Life9/6/20025/24/2003
InactiveBristol West Insurance Company301655Agent - Casualty2/16/20074/26/2007
InactiveBristol West Insurance Company301655Agent - Property2/16/20074/26/2007
InactiveColonial Life and Accident Insurance Company300846Agent - Health2/5/20074/26/2007
InactiveColonial Life and Accident Insurance Company300846Agent - Life2/5/20074/26/2007
InactiveEverlake Life Insurance Company300873Agent - Health8/4/20031/26/2007
InactiveEverlake Life Insurance Company300873Agent - Life8/4/20031/26/2007
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities6/8/20041/26/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life8/14/20062/12/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities8/14/20062/12/2007
InactiveHumana Health Plan, Inc.300142Agent - Health9/29/20044/26/2007
InactiveHumana Insurance Company301104Agent - Health10/10/20054/26/2007
InactiveHumana Insurance Company301104Agent - Life10/10/20054/26/2007
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/29/20044/26/2007
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/29/20044/26/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health11/30/20015/24/2003
InactiveJohn Alden Life Insurance Company300573Agent - Life11/30/20015/24/2003
InactiveLife Investors Insurance Company of America301793Agent - Health7/29/20025/24/2003
InactiveLife Investors Insurance Company of America301793Agent - Life7/29/20025/24/2003
InactiveLincoln Benefit Life Company301110Agent - Health8/1/20031/26/2007
InactiveLincoln Benefit Life Company301110Agent - Life8/1/20031/26/2007
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities6/8/20041/26/2007
InactiveMutual of Omaha Insurance Company301012Agent - Health11/6/200112/26/2001
InactiveNationwide Assurance Company300166Agent - Casualty11/26/20014/11/2003
InactiveNationwide General Insurance Company300603Agent - Casualty11/26/20014/11/2003
InactiveNationwide General Insurance Company300603Agent - Property11/26/20014/11/2003
InactiveNationwide Life Insurance Company300495Agent - Health11/6/20014/11/2003
InactiveNationwide Life Insurance Company300495Agent - Life11/6/20014/11/2003
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty11/26/20014/11/2003
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property11/26/20014/11/2003
InactiveNationwide Mutual Insurance Company301749Agent - Casualty11/26/20014/11/2003
InactiveNationwide Mutual Insurance Company301749Agent - Property11/26/20014/11/2003
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty11/26/20014/11/2003
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property11/26/20014/11/2003
InactivePacific Specialty Insurance Company301846Agent - Casualty4/9/20044/26/2007
InactivePacific Specialty Insurance Company301846Agent - Property4/9/20044/26/2007
InactiveShenandoah Life Insurance Company300130Agent - Life10/4/20018/5/2002
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/3/20023/4/2003
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty1/31/20074/26/2007
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property1/31/20074/26/2007
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty1/31/20074/26/2007
InactiveUnitrin Preferred Insurance Company502869Agent - Property1/31/20074/26/2007
InactiveWest Coast Life Insurance Company301607Agent - Life12/23/200412/29/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life2/24/20074/26/2007
InactiveArison Insurance Services, Inc.401001Agent - Health2/24/20074/26/2007
InactiveCCIT Insurance Services, LLC541200Agent - Life11/13/20016/6/2002
InactiveCCIT Insurance Services, LLC541200Agent - Health11/13/20016/6/2002
InactiveDan Clemons Insurance Agency, LLC648871Agent - Life1/29/20074/26/2007
InactiveDan Clemons Insurance Agency, LLC648871Agent - Health1/29/20074/26/2007
InactiveDan Clemons Insurance Agency, LLC648871Agent - Property1/29/20074/26/2007
InactiveDan Clemons Insurance Agency, LLC648871Agent - Casualty1/29/20074/26/2007
InactiveDan Clemons Insurance Agency, LLC648871Agent - Variable Life and Variable Annuities1/29/20072/12/2007
InactiveSenior American Benefits, LLC502287Agent - Life10/1/20013/19/2003
InactiveSenior American Benefits, LLC502287Agent - Health10/1/20013/19/2003

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