DEPARTMENT OF INSURANCE

Affiliations

Name	Clemmons, Mia	DOIID	859490	NAIC NPN	17379876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/19/2020	2/28/2026
Active	Non Resident	Agent	Self-Service Storage Space	3/19/2020	2/28/2026
Active	Non Resident	Agent	Casualty	3/19/2020	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2014	6/19/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2014	6/19/2015
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	3/21/2020	5/11/2022
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	3/21/2020	5/11/2022
Inactive	National General Insurance Company	300152	Agent - Casualty	12/1/2014	5/5/2015
Inactive	National General Insurance Company	300152	Agent - Property	12/1/2014	5/5/2015
Active	National Specialty Insurance Company	300993	Agent - Casualty	9/12/2022
Active	National Specialty Insurance Company	300993	Agent - Property	9/12/2022
Active	National Specialty Insurance Company	300993	Agent - Self-Service Storage Space	9/12/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	9/9/2022
Active	Next Insurance US Company	1083825	Agent - Property	9/9/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/25/2014	5/26/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/25/2014	5/26/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/30/2014	5/12/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/30/2014	5/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/30/2014	5/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/30/2014	5/12/2015
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	9/12/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	9/12/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	3/21/2020	5/11/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	3/21/2020	5/11/2022
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	3/21/2020	5/11/2022
Inactive	USAA General Indemnity Company	300131	Agent - Property	3/21/2020	5/11/2022
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/25/2014	5/26/2015
Inactive	United Financial Casualty Company	301886	Agent - Property	11/25/2014	5/26/2015
Inactive	United Services Automobile Association	300158	Agent - Casualty	3/21/2020	5/11/2022
Inactive	United Services Automobile Association	300158	Agent - Property	3/21/2020	5/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	12/24/2014	6/19/2015
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	12/24/2014	6/19/2015
Inactive	CWI, LLC	662170	Agent - Property	1/6/2015	6/19/2015
Inactive	CWI, LLC	662170	Agent - Casualty	1/6/2015	6/19/2015
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/6/2015	6/19/2015
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/6/2015	6/19/2015
Inactive	National General Ins Marketing Inc	621228	Agent - Property	12/1/2014	5/5/2015
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	12/1/2014	5/5/2015
Active	Next First Insurance Agency, Inc.	1065117	Agent - Property	10/5/2022
Active	Next First Insurance Agency, Inc.	1065117	Agent - Casualty	10/5/2022
Active	Next Ins Inc	908040	Agent - Property	10/5/2022
Active	Next Ins Inc	908040	Agent - Casualty	10/5/2022