DEPARTMENT OF INSURANCE

Affiliations

Name	Clagg, Raymond Todd	DOIID	804450	NAIC NPN	16898955

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/23/2014	8/1/2015
Inactive	Resident	Agent	Health	4/11/2013	8/1/2015
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/19/2013	2/10/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/19/2013	8/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/10/2014	8/1/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/8/2014	8/1/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/8/2014	8/1/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/19/2014	12/5/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/25/2014	8/1/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	2/25/2014	8/1/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/19/2014	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/29/2013	12/13/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/19/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/19/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/19/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/19/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/19/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/19/2014	12/5/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/26/2013	8/1/2015
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/26/2013	8/1/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/29/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	1/29/2014	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/20/2014	8/1/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/20/2014	8/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/25/2014	8/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/10/2014	8/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/19/2013	8/1/2015
Inactive	Guardian Ins Agency LLC	806747	Agent - Health	4/26/2013	3/31/2015