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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JERRY W. CLEMENS

PRODUCER NON-RESIDENT

License Number:
PRN491183
Status:
First Licensure:
08/07/2024
Cancel Date:
None

Mailing:
PARSONS, KS 67357
Phone:
+1 (620) 421-9999
Fax:
+1 (620) 421-0274
Email:
jerry@clemensinsurance.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/07/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
CLEMENS INSURANCE AGENCY LLC
09/14/2024 AGN495374

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
08/22/2025 PCF46804
GREAT AMERICAN INSURANCE COMPANY
08/22/2025 PCF764
GREAT AMERICAN SECURITY INS CO
08/22/2025 PCF47084

Authority

Description Issue Date Termination Date Status
CASUALTY 08/07/2024 Active
PROPERTY 08/07/2024 Active

Responsible For

Name License Number
CLEMENS INSURANCE AGENCY LLC AGN495374

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2939938

Other Addresses

Address Type
PARSONS, KS 67357
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/03/2025 02:26:01 AM