DEPARTMENT OF INSURANCE

Affiliations

Name	Gromack, Jeffrey Scott	DOIID	1134362	NAIC NPN	19848483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/13/2021	1/31/2028
Active	Non Resident	Agent	Life	5/13/2021	1/31/2028
* 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 - Life	8/6/2024	12/19/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/6/2024	12/19/2025
Active	All Savers Insurance Company	301940	Agent - Health	6/24/2024
Active	All Savers Insurance Company	301940	Agent - Life	6/24/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/17/2024	12/27/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/17/2024	12/26/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/6/2024	12/19/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/6/2024	12/19/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/22/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/14/2021	6/6/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/14/2021	6/6/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/14/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	6/14/2024
Inactive	MedMutual Life Insurance Company	301047	Agent - Health	1/20/2025	12/23/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/11/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/4/2025	2/23/2026
Active	Reserve National Insurance Company	301073	Agent - Health	11/5/2024
Inactive	United Insurance Company of America	300775	Agent - Health	11/5/2024	12/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/24/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/24/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/14/2021	6/6/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/14/2021	6/6/2024