DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clemens, Gary C	DOIID	578007	NAIC NPN	625262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/20/2003	11/30/2012
Inactive	Non Resident	Agent	Life	10/20/2003	11/30/2012
* 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
Denied	American General Life Insurance Company	301585	Agent - Health
Denied	American General Life Insurance Company	301585	Agent - Life
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/25/2005	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/25/2005	12/31/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	1/17/2011	11/30/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/17/2011	11/30/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	8/6/2007	12/22/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ins Brokers Of America Inc	596238	Agent - Health
Denied	Ins Brokers Of America Inc	596238	Agent - Life