DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Klotter Jr, Tom	DOIID	804749	NAIC NPN	13250782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2013		12/31/2024
Active	Non Resident	Agent	Casualty	3/7/2013		12/31/2024
Active	Non Resident	Agent	Health	2/28/2013		12/31/2024
Active	Non Resident	Agent	Property	3/7/2013		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Farmers Insurance Exchange	300336	Agent - Casualty	6/26/2023
Active	Farmers Insurance Exchange	300336	Agent - Property	6/26/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/22/2023	6/27/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/22/2023	6/27/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/5/2013	4/16/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/5/2013	4/16/2021
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Life	3/24/2021	4/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fx Insurance Agency, LLC	646184	Agent - Life
Active	Fx Insurance Agency, LLC	646184	Agent - Property	6/26/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/26/2023