DEPARTMENT OF INSURANCE
Affiliations
NameGresham, Avron DOIID828621NAIC NPN17107304
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/26/2022 5/31/2026
ActiveNon ResidentAgentHealth8/29/2022 5/31/2026
ActiveNon ResidentAgentLife8/29/2022 5/31/2026
ActiveNon ResidentAgentCasualty8/26/2022 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202605/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/30/201712/10/2020
InactiveAnthem Life Insurance Company301209Agent - Health9/30/201712/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life9/30/201712/10/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Health8/3/20189/21/2018
InactiveCompBenefits Dental, Inc.591692Agent - Health12/19/201312/5/2014
InactiveCompanion Life Insurance Company300191Agent - Health2/10/20145/31/2016
InactiveCompanion Life Insurance Company300191Agent - Life2/10/20145/31/2016
InactiveDental Concern Inc. (The)301641Agent - Health12/19/201312/5/2014
InactiveGolden Rule Insurance Company301943Agent - Health12/8/20146/2/2015
InactiveGolden Rule Insurance Company301943Agent - Life12/8/20146/2/2015
InactiveHumana Health Plan, Inc.300142Agent - Health12/12/20163/13/2017
InactiveHumana Insurance Company301104Agent - Health12/12/20163/13/2017
InactiveHumana Insurance Company301104Agent - Life12/12/20163/13/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/19/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/19/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Health12/19/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life12/19/201312/5/2014
InactiveLumico Life Insurance Company300354Agent - Health4/27/20185/31/2022
InactiveLumico Life Insurance Company300354Agent - Life4/27/20185/31/2022
InactiveNational Health Insurance Company300554Agent - Health10/2/20175/31/2022
InactiveSILAC Insurance Company300535Agent - Health9/28/201711/10/2020
InactiveSILAC Insurance Company300535Agent - Life9/28/201711/10/2020
InactiveStarr Indemnity and Liability Company301685Agent - Health2/15/20145/31/2016
InactiveTime Insurance Company300683Agent - Health12/2/201312/20/2014
InactiveTime Insurance Company300683Agent - Life12/2/201312/20/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/2/201712/10/2020
InactiveDesignated Agent Company Inc.681257Agent - Life10/2/201712/10/2020

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