DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clayborn, Bernette	DOIID	1253328	NAIC NPN	11439781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/8/2023		1/31/2026
Active	Non Resident	Agent	Health	1/26/2023		1/31/2026
Active	Non Resident	Agent	Property	12/8/2023		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/30/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	1/30/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/4/2023	10/3/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	12/10/2023	4/19/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	12/10/2023	4/19/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	2/26/2025
Active	SilverScript Insurance Company	663526	Agent - Health	1/30/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	12/10/2023	4/19/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	12/10/2023	4/19/2025
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	12/10/2023	4/19/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	12/10/2023	4/19/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/10/2023	4/19/2025
Inactive	United Services Automobile Association	300158	Agent - Property	12/10/2023	4/19/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	2/1/2024	7/11/2024
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	2/1/2024	7/11/2024