DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clabaugh, Stephen Jess	DOIID	556210	NAIC NPN	570608

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/19/2004	3/31/2007
Inactive	Non Resident	Agent	Life	10/11/2002	1/10/2013
Inactive	Non Resident	Agent	Health	10/11/2002	1/10/2013
Inactive	Non Resident	Agent	Casualty	8/26/2004	1/10/2013
Inactive	Non Resident	Agent	Property	8/26/2004	1/10/2013
* 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	Acacia Life Insurance Company	300375	Agent - Health	10/31/2002	3/31/2008
Inactive	Acacia Life Insurance Company	300375	Agent - Life	10/31/2002	3/31/2008
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	10/11/2002	10/16/2008
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/11/2002	10/16/2008
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	6/5/2009	2/17/2012
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	6/5/2009	2/17/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	International Medical Administrators, Inc	514319	Agent - Health	12/1/2004	8/13/2007
Inactive	International Medical Administrators, Inc	514319	Agent - Life		8/13/2007
Inactive	International Medical Administrators, Inc	514319	Administrator - Not Applicable	3/19/2004	3/31/2007
Inactive	Preferred Financial Corporation	726300	Agent - Health	4/12/2010	2/17/2012
Inactive	Preferred Financial Corporation	726300	Agent - Life	4/12/2010	2/17/2012
Inactive	Preferred Financial Corporation	726300	Agent - Casualty	11/28/2011	1/10/2013
Inactive	Preferred Financial Corporation	726300	Agent - Property	11/28/2011	1/10/2013
Inactive	Veritas Corp.	547004	Agent - Health	5/12/2003	1/17/2006
Inactive	Veritas Corp.	547004	Agent - Life	5/12/2003	1/17/2006