DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Reginald L	DOIID	763504	NAIC NPN	7142469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/6/2012	1/31/2026
Active	Non Resident	Agent	Health	9/14/2011	1/31/2026
Active	Non Resident	Agent	Casualty	7/31/2012	1/31/2026
Active	Non Resident	Agent	Property	7/31/2012	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	11/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/16/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/16/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	3/30/2021	6/13/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/30/2021	6/13/2022
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/5/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	7/5/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/23/2018	11/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/21/2011	4/24/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/18/2012	10/29/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/18/2012	10/29/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/9/2011	4/24/2013
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/9/2022	12/24/2024
Inactive	Esurance Insurance Company	301072	Agent - Casualty	3/31/2014	6/21/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	3/31/2014	6/21/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	5/30/2014	5/9/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	5/30/2014	5/9/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/27/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/27/2023
Inactive	GEICO Casualty Company	301178	Agent - Casualty	7/21/2022	10/17/2022
Inactive	GEICO General Insurance Company	301684	Agent - Casualty	7/21/2022	10/17/2022
Inactive	GEICO General Insurance Company	301684	Agent - Property	7/21/2022	10/17/2022
Inactive	GEICO Indemnity Company	301720	Agent - Casualty	7/21/2022	10/17/2022
Inactive	GEICO Indemnity Company	301720	Agent - Property	7/21/2022	10/17/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/6/2012	4/30/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/13/2012	4/30/2013
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	7/21/2022	10/17/2022
Inactive	Government Employees Insurance Company	300376	Agent - Property	7/21/2022	10/17/2022
Active	Homesite Insurance Company	301139	Agent - Casualty	5/2/2023
Active	Homesite Insurance Company	301139	Agent - Property	5/2/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/2/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/2/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	4/24/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/21/2011	4/24/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/21/2011	4/24/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/2012	4/24/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/21/2011	4/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/9/2011	4/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/20/2012	4/24/2013
Inactive	LM General Insurance Company	300133	Agent - Casualty	5/30/2014	5/9/2018
Inactive	LM General Insurance Company	300133	Agent - Property	5/30/2014	5/9/2018
Inactive	LM Insurance Corporation	301061	Agent - Casualty	5/30/2014	5/9/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	5/30/2014	5/9/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	5/30/2014	5/9/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	5/30/2014	5/9/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/30/2014	5/9/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/30/2014	5/9/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/30/2014	5/9/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	5/30/2014	5/9/2018
Inactive	MIC General Insurance Corporation	300398	Agent - Casualty	8/7/2012	10/9/2012
Inactive	MIC General Insurance Corporation	300398	Agent - Property	8/7/2012	10/9/2012
Inactive	National General Assurance Company	301108	Agent - Casualty	8/7/2012	10/9/2012
Inactive	National General Insurance Company	300152	Agent - Casualty	8/7/2012	8/28/2013
Inactive	National General Insurance Company	300152	Agent - Property	8/7/2012	8/28/2013
Inactive	National General Insurance Online, Inc.	518596	Agent - Casualty	8/7/2012	10/9/2012
Inactive	National General Insurance Online, Inc.	518596	Agent - Property	8/7/2012	10/9/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2012	5/9/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2012	5/9/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2012	5/9/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2012	5/9/2018
Active	SilverScript Insurance Company	663526	Agent - Health	11/16/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/27/2016	3/14/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/27/2016	3/14/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/27/2016	3/14/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/27/2016	3/14/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/20/2015	9/28/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/20/2015	9/28/2017

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	10/24/2012	9/18/2013
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	10/24/2012	9/18/2013
Inactive	CWI, LLC	662170	Agent - Property	12/26/2012	9/18/2013
Inactive	CWI, LLC	662170	Agent - Casualty	12/26/2012	9/18/2013
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	5/10/2013	10/17/2013
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	5/10/2013	10/17/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Property	8/24/2012	9/3/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	8/24/2012	9/3/2013
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	2/20/2014	5/7/2018
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	2/20/2014	5/7/2018