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DEPARTMENT OF INSURANCE
Affiliations
Name
Clement, Jerome F
DOIID
539314
NAIC NPN
407624
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
12/20/2017
12/31/2024
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
12/20/2017
12/31/2024
Inactive
Non Resident
Agent
Life
12/20/2017
12/31/2024
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
5/13/2021
12/31/2024
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
5/13/2021
12/31/2024
Inactive
American Enterprise Life Insurance Company
300262
Agent - Life
10/12/2004
1/24/2005
Inactive
American Enterprise Life Insurance Company
300262
Agent - Variable Life and Variable Annuities
10/12/2004
1/24/2005
Inactive
American General Life Insurance Company
301585
Agent - Health
2/5/2021
12/31/2024
Inactive
American General Life Insurance Company
301585
Agent - Life
2/5/2021
12/31/2024
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
2/5/2021
12/31/2024
Inactive
Banner Life Insurance Company
301696
Agent - Life
8/8/2018
12/31/2024
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/10/2018
10/10/2023
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/10/2018
10/10/2023
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/10/2018
10/10/2023
Inactive
C.M. Life Insurance Company
301335
Agent - Health
1/15/2003
4/26/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Life
1/15/2003
4/26/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
1/15/2003
4/26/2006
Inactive
CMFG Life Insurance Company
300929
Agent - Health
3/5/2021
2/6/2024
Inactive
CMFG Life Insurance Company
300929
Agent - Life
3/5/2021
2/6/2024
Inactive
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
3/5/2021
2/6/2024
Inactive
Delaware Life Insurance Company
301256
Agent - Health
12/31/2003
12/31/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
11/29/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
12/31/2003
11/29/2006
Inactive
Empower Annuity Insurance Company
300168
Agent - Life
11/10/2015
12/31/2016
Inactive
Empower Annuity Insurance Company
300168
Agent - Variable Life and Variable Annuities
11/10/2015
12/31/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
9/4/2012
12/31/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
9/4/2012
12/31/2016
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
3/3/2015
12/31/2016
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
3/3/2015
12/31/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/6/2002
2/10/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/6/2002
2/10/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
12/6/2002
2/15/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
12/6/2002
2/15/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
12/6/2002
2/15/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
12/23/2002
1/26/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
12/23/2002
1/26/2005
Inactive
Keyport Life Insurance Company
300319
Agent - Health
10/9/2001
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Life
10/9/2001
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
10/9/2001
12/31/2003
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
1/15/2003
4/26/2006
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
1/15/2003
4/26/2006
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
1/15/2003
4/26/2006
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
10/20/2004
5/4/2005
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
10/20/2004
5/4/2005
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
10/20/2004
5/4/2005
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
10/20/2004
5/4/2005
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
10/20/2004
5/4/2005
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
10/20/2004
5/4/2005
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
8/11/2003
2/18/2005
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
8/11/2003
2/18/2005
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/21/2014
7/25/2016
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/21/2014
7/25/2016
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
4/3/2015
3/7/2016
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
4/3/2015
3/7/2016
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/7/2003
12/31/2006
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/7/2003
12/31/2006
Inactive
Pruco Life Insurance Company
300954
Agent - Life
3/3/2015
12/22/2016
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
3/3/2015
12/22/2016
Inactive
Prudential Insurance Company of America
300784
Agent - Life
11/10/2015
12/31/2016
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
11/10/2015
12/31/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/5/2019
6/6/2024
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
3/10/2015
2/19/2016
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
12/13/2004
2/21/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
12/13/2004
2/21/2005
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/7/2003
12/31/2006
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/7/2003
12/31/2006
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/19/2002
2/2/2005
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Health
10/28/2004
2/11/2005
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Life
10/28/2004
2/11/2005
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Variable Life and Variable Annuities
10/28/2004
2/11/2005
Inactive
Banc of America Investment Service, Inc.
583248
Agent - Health
10/28/2004
2/8/2005
Inactive
Banc of America Investment Service, Inc.
583248
Agent - Life
10/28/2004
2/8/2005
Inactive
Banc of America Investment Service, Inc.
583248
Agent - Variable Life and Variable Annuities
10/28/2004
2/8/2005
Denied
Cabot Lodge Securities, LLC
1085353
Agent - Health
Inactive
Cabot Lodge Securities, LLC
1085353
Agent - Life
10/20/2021
9/27/2023
Inactive
Cabot Lodge Securities, LLC
1085353
Agent - Variable Life and Variable Annuities
10/20/2021
9/27/2023
Inactive
PKS Financial Services, Inc.
586503
Agent - Health
3/5/2019
12/31/2024
Inactive
PKS Financial Services, Inc.
586503
Agent - Life
8/8/2018
12/31/2024
Inactive
Purshe Kaplan Sterling Investments Inc
586493
Agent - Health
3/5/2019
12/31/2024
Inactive
Purshe Kaplan Sterling Investments Inc
586493
Agent - Life
3/5/2019
12/31/2024
Inactive
Purshe Kaplan Sterling Investments Inc
586493
Agent - Variable Life and Variable Annuities
3/5/2019
12/31/2024
Inactive
Quick & Reilly
400526
Agent - Health
7/29/2002
5/31/2005
Inactive
Quick & Reilly
400526
Agent - Life
7/29/2002
5/31/2005
Inactive
Quick & Reilly
400526
Agent - Variable Life and Variable Annuities
7/29/2002
5/31/2005
Inactive
Wentworth Financial Partners LLC
813940
Agent - Health
2/9/2021
8/2/2023
Inactive
Wentworth Financial Partners LLC
813940
Agent - Life
2/9/2021
8/2/2023
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