DEPARTMENT OF INSURANCE
Affiliations
NameGracial, Richard MichaelDOIID1010481NAIC NPN8655529
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/19/2018 8/31/2025
ActiveNon ResidentAgentHealth9/19/2018 8/31/2025
* 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
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCombined Insurance Company of America301472Agent - Health12/1/20202/2/2023
InactiveCombined Insurance Company of America301472Agent - Life12/1/20202/2/2023
ActiveProvident Life and Accident Insurance Company301525Agent - Health10/13/2023 
ActiveProvident Life and Accident Insurance Company301525Agent - Life10/13/2023 
ActiveReliaStar Life Insurance Company301712Agent - Health11/6/2018 
ActiveReliaStar Life Insurance Company301712Agent - Life11/6/2018 
ActiveStarmount Life Insurance Company628031Agent - Health10/13/2023 
InactiveTrustmark Insurance Company300317Agent - Health10/18/20205/25/2022
InactiveTrustmark Insurance Company300317Agent - Life10/18/20205/25/2022
ActiveUNUM Life Insurance Company of America300817Agent - Health10/13/2023 
ActiveUNUM Life Insurance Company of America300817Agent - Life10/13/2023 
ActiveUnum Insurance Company301499Agent - Health10/13/2023 
ActiveUnum Insurance Company301499Agent - Life10/13/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveOptavise, LLC671337Agent - Life10/5/2018 
ActiveOptavise, LLC671337Agent - Health10/5/2018 

© Commonwealth of Kentucky. All rights reserved.