DEPARTMENT OF INSURANCE
Affiliations
NameClemens, Melissa DianeDOIID689071NAIC NPN10173330
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/10/2017 11/30/2025
ActiveNon ResidentAgentHealth3/10/2017 11/30/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities3/10/2017 11/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/12/20131/16/2014
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/17/20215/12/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/2/20215/5/2021
InactiveAtlantic Coast Life Insurance Company642114Agent - Life9/30/201812/31/2020
InactiveBrighthouse Life Insurance Company301829Agent - Health9/11/201311/30/2013
ActiveBrighthouse Life Insurance Company301829Agent - Life9/1/2020 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities9/1/2020 
InactiveFidelity Investments Life Insurance Company300620Agent - Health9/17/20089/11/2013
InactiveFidelity Investments Life Insurance Company300620Agent - Life9/17/20089/11/2013
InactiveFidelity Investments Life Insurance Company300620Agent - Variable Life and Variable Annuities9/17/20089/11/2013
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life2/6/201512/2/2016
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities2/6/201512/2/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/29/201512/28/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/29/201512/28/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/29/201512/28/2016
InactiveMetLife Investors Insurance Company301872Agent - Health9/11/201311/30/2013
InactiveMetLife Investors Insurance Company301872Agent - Life9/11/201311/30/2013
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities9/11/201311/30/2013
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/18/200911/30/2013
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/18/200911/30/2013
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/18/200911/30/2013
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/30/200911/30/2013
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities9/11/201311/30/2013
InactivePacific Life Insurance Company301848Agent - Health8/29/201311/30/2013
InactivePacific Life Insurance Company301848Agent - Life8/29/201311/30/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/29/201311/30/2013
InactivePruco Life Insurance Company300954Agent - Life4/18/201712/21/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/18/201712/21/2022
InactivePrudential Insurance Company of America300784Agent - Life9/17/201311/30/2013
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities9/17/201311/30/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Health9/26/200811/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life9/26/200811/16/2011
InactiveTransamerica Life Insurance Company300571Agent - Life1/15/201612/2/2016
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/15/201612/2/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCary Street Partners LLC663694Agent - Life11/19/201912/14/2021
InactiveCary Street Partners LLC663694Agent - Variable Life and Variable Annuities11/19/201912/14/2021
InactiveFidelity Insurance Agency Inc.400221Agent - Life7/30/20099/19/2013
InactiveFidelity Insurance Agency Inc.400221Agent - Health7/30/20099/19/2013
InactiveFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities7/30/20099/19/2013
ActiveMerrill Lynch Life Agency Inc.400527Agent - Life6/15/2020 
DeniedMerrill Lynch Life Agency Inc.400527Agent - Health  
ActiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities6/15/2020 
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life2/6/201512/2/2016
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health1/29/201512/2/2016
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities2/6/201512/2/2016

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