DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Clarissa Dale	DOIID	700592	NAIC NPN	13236160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/19/2013	4/30/2023
Pending Replacement	Resident	Agent	Property	10/25/2023		4/30/2025
Pending Replacement	Resident	Agent	Casualty	10/25/2023		4/30/2025
Pending Replacement CE Compliance	Resident	Agent	Health	7/10/2023
Pending Replacement CE Compliance	Resident	Agent	Life	7/10/2023
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	12/8/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/8/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	12/8/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	10/30/2023	11/23/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	10/30/2023	11/23/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	10/30/2023	11/23/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	10/30/2023	11/23/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	10/30/2023	11/23/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	10/30/2023	11/23/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	10/30/2023	11/23/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	10/30/2023	11/23/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/25/2023	4/13/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/25/2023	4/13/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	3/5/2009	5/4/2010
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/13/2023	12/12/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/14/2023	5/2/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/14/2023	5/2/2025
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	11/28/2023	5/14/2024
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	11/28/2023	5/14/2024
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	8/16/2013	4/30/2023
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/2/2023	5/27/2025
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/2/2023	5/27/2025
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	12/8/2023
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	7/6/2017	4/30/2023
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	7/6/2017	4/30/2023
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/16/2013	4/30/2023
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	3/5/2009	5/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle Financial Services Inc	401081	Agent - Limited Line Credit	3/1/2017	3/31/2022