DEPARTMENT OF INSURANCE

Affiliations

Name	Clemens Ii, Randall Fredrick	DOIID	665366	NAIC NPN	3026566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	12/9/2024		9/30/2026
Active	Resident	Agent	Life	12/9/2024		9/30/2026
Inactive	Resident	Agent	Property	12/9/2022	10/1/2024
Inactive	Resident	Agent	Casualty	12/9/2022	10/1/2024
* 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	Accendo Insurance Company	300312	Agent - Health	3/9/2021	10/1/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	3/9/2021	10/1/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/9/2021	10/1/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Life	3/9/2021	10/1/2022
Inactive	American Continental Insurance Company	643130	Agent - Health	3/9/2021	8/10/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	3/9/2021	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	6/13/2018	6/13/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	6/13/2018	6/13/2022
Inactive	American National Insurance Company	301861	Agent - Life	5/19/2022	10/1/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/31/2014	8/22/2014
Active	Assurity Life Insurance Company	301099	Agent - Health	1/9/2025
Active	Assurity Life Insurance Company	301099	Agent - Life	1/9/2025
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/13/2012	2/27/2014
Inactive	Columbian Life Insurance Company	300810	Agent - Life	1/15/2019	10/1/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/9/2021	10/1/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/9/2021	10/1/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/10/2017	7/11/2019
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	2/14/2020	10/1/2022
Inactive	Everly Life Insurance Company	561641	Agent - Life	1/6/2017	11/14/2018
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/8/2023	10/1/2024
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/31/2018	10/1/2022
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/31/2018	10/1/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/1/2021	10/1/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/1/2021	10/1/2022
Inactive	Homesteaders Life Company	300836	Agent - Life	12/27/2017	7/13/2020
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	10/1/2007	10/25/2012
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	10/1/2007	10/25/2012
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/16/2015	10/1/2022
Active	Life Insurance Company of the Southwest	301867	Agent - Health	12/12/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Life	12/12/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/12/2022	7/26/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/12/2022	7/26/2024
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/31/2015	10/25/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/3/2017	10/1/2022
Inactive	National Life Insurance Company	301852	Agent - Health	12/13/2022	10/1/2024
Inactive	National Life Insurance Company	301852	Agent - Life	12/13/2022	10/1/2024
Inactive	National Western Life Insurance Company	301515	Agent - Life	6/3/2013	10/1/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/12/2020	10/1/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	8/7/2017	6/22/2018
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/30/2013	7/8/2015
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/8/2013	7/8/2015
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	10/1/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	10/1/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	10/1/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/11/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/11/2019	10/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/15/2017	4/2/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/15/2017	12/21/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/15/2017	4/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Legacy Planning And Solutions LLC	809055	Agent - Casualty
Inactive	Legacy Planning And Solutions LLC	809055	Agent - Health	5/3/2013	10/1/2022
Inactive	Legacy Planning And Solutions LLC	809055	Agent - Life	5/3/2013	10/1/2022
Denied	Legacy Planning And Solutions LLC	809055	Agent - Property
Inactive	Secure Horizon Group	1355639	Agent - Health	8/14/2024	10/1/2024
Inactive	Secure Horizon Group	1355639	Agent - Life	8/14/2024	10/1/2024