DEPARTMENT OF INSURANCE
Affiliations
NameClemens II, Randall FredrickDOIID665366NAIC NPN3026566
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife12/9/2022 9/30/2024
ActiveResidentAgentCasualty12/9/2022 9/30/2024
ActiveResidentAgentHealth12/9/2022 9/30/2024
ActiveResidentAgentProperty12/9/2022 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health3/9/202110/1/2022
InactiveAccendo Insurance Company300312Agent - Life3/9/202110/1/2022
InactiveAetna Health and Life Insurance Company300523Agent - Health3/9/202110/1/2022
InactiveAetna Health and Life Insurance Company300523Agent - Life3/9/202110/1/2022
InactiveAmerican Continental Insurance Company643130Agent - Health3/9/20218/10/2021
InactiveAmerican Continental Insurance Company643130Agent - Life3/9/20218/11/2021
InactiveAmerican General Life Insurance Company301585Agent - Health6/13/20186/13/2022
InactiveAmerican General Life Insurance Company301585Agent - Life6/13/20186/13/2022
InactiveAmerican National Insurance Company301861Agent - Life5/19/202210/1/2022
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life1/31/20148/22/2014
ActiveAssurity Life Insurance Company301099Agent - Health2/16/2023 
ActiveAssurity Life Insurance Company301099Agent - Life2/16/2023 
InactiveAthene Annuity and Life Company301893Agent - Life3/13/20122/27/2014
InactiveColumbian Life Insurance Company300810Agent - Life1/15/201910/1/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/9/202110/1/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/9/202110/1/2022
InactiveDental Concern Inc. (The)301641Agent - Health8/10/20177/11/2019
InactiveEquiTrust Life Insurance Company502870Agent - Life2/14/202010/1/2022
InactiveEverly Life Insurance Company561641Agent - Life1/6/201711/14/2018
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/8/2023 
InactiveForethought Life Insurance Company301407Agent - Health10/31/201810/1/2022
InactiveForethought Life Insurance Company301407Agent - Life10/31/201810/1/2022
InactiveGerber Life Insurance Company300529Agent - Health11/1/202110/1/2022
InactiveGerber Life Insurance Company300529Agent - Life11/1/202110/1/2022
InactiveHomesteaders Life Company300836Agent - Life12/27/20177/13/2020
InactiveIndependent Mutual Fire Insurance Company300851Agent - Casualty10/1/200710/25/2012
InactiveIndependent Mutual Fire Insurance Company300851Agent - Property10/1/200710/25/2012
InactiveLiberty Bankers Life Insurance Company542461Agent - Life4/16/201510/1/2022
ActiveLife Insurance Company of the Southwest301867Agent - Health12/13/2022 
ActiveLife Insurance Company of the Southwest301867Agent - Life12/13/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health12/12/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life12/12/2022 
InactiveMidland National Life Insurance Company300923Agent - Life5/31/201510/25/2017
InactiveNational Guardian Life Insurance Company300596Agent - Life1/3/201710/1/2022
ActiveNational Life Insurance Company301852Agent - Health12/13/2022 
ActiveNational Life Insurance Company301852Agent - Life12/13/2022 
InactiveNational Western Life Insurance Company301515Agent - Life6/3/201310/1/2022
InactiveNorth American Company for Life and Health Insurance300291Agent - Life4/12/202010/1/2022
InactiveOmaha Insurance Company751908Agent - Health8/7/20176/22/2018
InactivePacific Life Insurance Company301848Agent - Health5/30/20137/8/2015
InactivePacific Life Insurance Company301848Agent - Life5/8/20137/8/2015
InactiveTier One Insurance Company301056Agent - Life8/17/202210/1/2022
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/202010/1/2022
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/202010/1/2022
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/11/201910/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/11/201910/1/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/15/20174/2/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/15/201712/21/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/15/20174/2/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedLegacy Planning And Solutions LLC809055Agent - Casualty  
InactiveLegacy Planning And Solutions LLC809055Agent - Health5/3/201310/1/2022
InactiveLegacy Planning And Solutions LLC809055Agent - Life5/3/201310/1/2022
DeniedLegacy Planning And Solutions LLC809055Agent - Property  

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