DEPARTMENT OF INSURANCE
Affiliations
NameGracial, Richard MichaelDOIID1010481NAIC NPN8655529
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/19/20188/31/2025 
InactiveNon ResidentAgentHealth9/19/20188/31/2025 
* 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
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
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/13/20238/31/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/13/20238/31/2025
InactiveReliaStar Life Insurance Company301712Agent - Health11/6/20188/31/2025
InactiveReliaStar Life Insurance Company301712Agent - Life11/6/20188/31/2025
InactiveStarmount Life Insurance Company628031Agent - Health10/13/20238/31/2025
InactiveTrustmark Insurance Company300317Agent - Health10/18/20205/25/2022
InactiveTrustmark Insurance Company300317Agent - Life10/18/20205/25/2022
InactiveUNUM Life Insurance Company of America300817Agent - Health10/13/20238/31/2025
InactiveUNUM Life Insurance Company of America300817Agent - Life10/13/20238/31/2025
InactiveUnum Insurance Company301499Agent - Health10/13/20238/31/2025
InactiveUnum Insurance Company301499Agent - Life10/13/20238/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveOptavise, LLC671337Agent - Life10/5/20188/31/2025
InactiveOptavise, LLC671337Agent - Health10/5/20188/31/2025

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