DEPARTMENT OF INSURANCE

Affiliations

Name	Clifford, Dennis E	DOIID	585509	NAIC NPN	7824939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/5/2004	9/30/2024
Active	Non Resident	Agent	Variable Life and Variable Annuities	7/20/2010	9/30/2024
Active	Non Resident	Agent	Health	3/5/2004	9/30/2024
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/11/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/21/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/15/2019	12/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/21/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	10/21/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/15/2019	12/15/2020
Active	American National Insurance Company	301861	Agent - Life	5/27/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/20/2019	12/22/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/5/2019	4/19/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/5/2019	4/19/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	8/21/2019	12/14/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	8/21/2019	12/14/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/21/2019	12/14/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/21/2019	12/14/2023
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	4/5/2004	9/30/2008
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	4/5/2004	9/30/2008
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/12/2019	12/22/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	12/14/2017
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/14/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/15/2019	12/15/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/18/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/9/2008	10/15/2008
Active	Elips Life Insurance Company	301087	Agent - Health	4/14/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/24/2008	10/15/2008
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/4/2019	12/21/2022
Active	Humana Insurance Company	301104	Agent - Health	11/18/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/6/2009	12/7/2010
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/7/2021	2/17/2023
Inactive	Medico Insurance Company	301559	Agent - Health	11/3/2021	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	11/3/2021	12/21/2022
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	6/27/2019	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	6/27/2019	12/28/2020
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	6/1/2009	5/21/2019
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	6/1/2009	5/21/2019
Inactive	New York Life Insurance Company	300431	Agent - Health	6/1/2009	5/21/2019
Inactive	New York Life Insurance Company	300431	Agent - Life	6/1/2009	5/21/2019
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	6/1/2009	5/21/2019
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	6/1/2009	5/21/2019
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	10/6/2010	5/21/2019
Active	Protective Life Insurance Company	300638	Agent - Health	12/29/2017
Active	Protective Life Insurance Company	300638	Agent - Life	12/29/2017
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	12/29/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/16/2018	12/24/2018
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/27/2012	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/27/2012	12/23/2014
Inactive	SILAC Insurance Company	300535	Agent - Life	1/2/2023	12/27/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/21/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/7/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/7/2020
Active	United Home Life Insurance Company	300421	Agent - Life	5/26/2024
Active	United National Life Insurance Company	844837	Agent - Health	6/17/2019
Active	United National Life Insurance Company	844837	Agent - Life	6/17/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/16/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/16/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/16/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/16/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/14/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	11/5/2019
Active	Designated Agent Company Inc.	681257	Agent - Life	11/5/2019
Inactive	NYLIFE Securities, LLC	645470	Agent - Life	2/18/2011	5/21/2019
Inactive	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	2/18/2011	5/21/2019