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DEPARTMENT OF INSURANCE
Affiliations
Name
Clemens, Melissa Diane
DOIID
689071
NAIC NPN
10173330
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
3/10/2017
11/30/2025
Active
Non Resident
Agent
Variable Life and Variable Annuities
3/10/2017
11/30/2025
Active
Non Resident
Agent
Health
3/10/2017
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
9/12/2013
1/16/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
9/10/2024
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
8/29/2024
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Life
9/30/2018
12/31/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
9/11/2013
11/30/2013
Active
Brighthouse Life Insurance Company
301829
Agent - Life
9/1/2020
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
9/1/2020
Inactive
Fidelity Investments Life Insurance Company
300620
Agent - Health
9/17/2008
9/11/2013
Inactive
Fidelity Investments Life Insurance Company
300620
Agent - Life
9/17/2008
9/11/2013
Inactive
Fidelity Investments Life Insurance Company
300620
Agent - Variable Life and Variable Annuities
9/17/2008
9/11/2013
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
2/6/2015
12/2/2016
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
2/6/2015
12/2/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
1/29/2015
12/28/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/29/2015
12/28/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/29/2015
12/28/2016
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
9/11/2013
11/30/2013
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
9/11/2013
11/30/2013
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
9/11/2013
11/30/2013
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
8/18/2009
11/30/2013
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
8/18/2009
11/30/2013
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
8/18/2009
11/30/2013
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
3/30/2009
11/30/2013
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
9/11/2013
11/30/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Health
8/29/2013
11/30/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/29/2013
11/30/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/29/2013
11/30/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Life
4/18/2017
12/21/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
4/18/2017
12/21/2022
Inactive
Prudential Insurance Company of America
300784
Agent - Life
9/17/2013
11/30/2013
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
9/17/2013
11/30/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/26/2008
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/26/2008
11/16/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
1/15/2016
12/2/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/15/2016
12/2/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Cary Street Partners LLC
663694
Agent - Life
11/19/2019
12/14/2021
Inactive
Cary Street Partners LLC
663694
Agent - Variable Life and Variable Annuities
11/19/2019
12/14/2021
Inactive
Fidelity Insurance Agency Inc.
400221
Agent - Life
7/30/2009
9/19/2013
Inactive
Fidelity Insurance Agency Inc.
400221
Agent - Health
7/30/2009
9/19/2013
Inactive
Fidelity Insurance Agency Inc.
400221
Agent - Variable Life and Variable Annuities
7/30/2009
9/19/2013
Active
Merrill Lynch Life Agency Inc.
400527
Agent - Life
6/15/2020
Denied
Merrill Lynch Life Agency Inc.
400527
Agent - Health
Active
Merrill Lynch Life Agency Inc.
400527
Agent - Variable Life and Variable Annuities
6/15/2020
Inactive
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Life
2/6/2015
12/2/2016
Inactive
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Health
1/29/2015
12/2/2016
Inactive
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Variable Life and Variable Annuities
2/6/2015
12/2/2016
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