DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Property	3/13/2014		4/30/2027
Active	Resident	Agent	Life	5/22/2014		4/30/2027
Active	Resident	Agent	Casualty	3/13/2014		4/30/2027
Active	Resident	Agent	Health	5/22/2014		4/30/2027
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025	03/10/2025	03/10/2025	Yes

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/10/2014	11/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/10/2014	11/7/2024
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