DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Current, Clarence Jaren	DOIID	719815	NAIC NPN	1092295

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/16/2009	6/6/2011
Inactive	Non Resident	Agent	Health	12/16/2009	6/6/2011
* 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
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/22/2010	3/14/2011
Inactive	Time Insurance Company	300683	Agent - Health	1/22/2010	6/6/2011
Inactive	Time Insurance Company	300683	Agent - Life	1/22/2010	6/6/2011
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/15/2010	6/6/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Workers Ins Services Inc	723800	Agent - Life	3/2/2010	6/6/2011
Inactive	American Workers Ins Services Inc	723800	Agent - Health	3/2/2010	6/6/2011