DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Secure Horizon Group	DOIID	1355639	NAIC NPN	21285239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/21/2025		3/31/2026
Active	Resident	Agent	Health	1/21/2025		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Forethought Life Insurance Company	301407	Agent - Life	7/2/2025
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/13/2024	12/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clemens, Carolyn Noreen	364335	Agent - Health	1/21/2025
Active	Clemens, Carolyn Noreen	364335	Agent - Life	1/21/2025
Inactive	Clemens, Randall Fredrick	665366	Agent - Health	8/14/2024	10/1/2024
Inactive	Clemens, Randall Fredrick	665366	Agent - Life	8/14/2024	10/1/2024