DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clontz, Bryan L	DOIID	834711	NAIC NPN	17201903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/13/2014		4/30/2025
Active	Resident	Agent	Life	5/22/2014		4/30/2025
Active	Resident	Agent	Health	5/22/2014		4/30/2025
Active	Resident	Agent	Property	3/13/2014		4/30/2025
Denied	Resident	Agent	Personal Lines
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/4/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/4/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	12/10/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	12/10/2014
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	7/8/2014
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	7/8/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/13/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/13/2014
Active	Milbank Insurance Company	925185	Agent - Casualty	2/28/2019
Active	Milbank Insurance Company	925185	Agent - Property	2/28/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/26/2014
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/26/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Citizens Insurance Agency, LLC	792341	Agent - Casualty	3/26/2014
Active	Citizens Insurance Agency, LLC	792341	Agent - Property	3/26/2014
Active	Citizens Insurance Agency, LLC	792341	Agent - Life	7/8/2014
Active	Citizens Insurance Agency, LLC	792341	Agent - Health	7/8/2014
Inactive	Medlink Inc	400721	Agent - Life	12/10/2014	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/10/2014	3/31/2024