DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Stephen Randolph	DOIID	877307	NAIC NPN	17284282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/7/2015	10/31/2027
Active	Non Resident	Agent	Health	5/7/2015	10/31/2027
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/5/2023	8/13/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/5/2023	8/13/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/5/2023	8/13/2024
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/26/2022
Active	American General Life Insurance Company	301585	Agent - Health	1/22/2021
Active	American General Life Insurance Company	301585	Agent - Life	1/22/2021
Inactive	American National Insurance Company	301861	Agent - Health	3/6/2018	10/22/2020
Active	American National Insurance Company	301861	Agent - Life	10/20/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/28/2022	7/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/15/2023	7/30/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	5/12/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/11/2016	7/27/2017
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/14/2018	6/25/2018
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	7/28/2022	4/6/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Insurance Company	301104	Agent - Life	3/11/2016	7/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/11/2016	7/27/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/27/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/4/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/4/2015	10/22/2015
Inactive	Senior Life Insurance Company	558267	Agent - Life	9/20/2018	6/13/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/5/2023	8/13/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2023	7/30/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2023	7/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hegemon Financial Group LLC	768398	Agent - Life	3/11/2016
Active	Hegemon Financial Group LLC	768398	Agent - Health	3/11/2016