DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carey, Clayton Blaine	DOIID	349054	NAIC NPN	7191036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	11/29/2011	5/31/2014
Inactive	Resident	Agent	Credit Personal Property & Unemployment	6/26/1996	3/31/1998
* 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
Inactive	American Security Insurance Company	300901	Agent - Credit Personal Property & Unemployment	7/29/1996	3/31/1998
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	11/29/2011	5/29/2014
Inactive	Yosemite Insurance Company	301519	Agent - Credit Personal Property & Unemployment	6/26/1996	3/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rural Cooperatives Credit Union, Inc.	636095	Agent - Limited Line Credit	3/8/2012	5/14/2013