DEPARTMENT OF INSURANCE

Affiliations

Name	Grider, Jerry Dean	DOIID	1022272	NAIC NPN	3953682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/13/2018	2/28/2026
Active	Non Resident	Agent	Life	12/13/2018	2/28/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/7/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/7/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/7/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/26/2022
Active	American General Life Insurance Company	301585	Agent - Life	10/26/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/3/2023	12/16/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/22/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/9/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/22/2018	5/21/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/22/2018	5/21/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/31/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/9/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/25/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/31/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/7/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/21/2019	10/21/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/9/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/9/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/9/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/10/2021	12/29/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	5/15/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/10/2021	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/27/2018	5/21/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/27/2018	5/21/2021
Active	My Usa Health	1058210	Agent - Health	9/27/2019
Active	My Usa Health	1058210	Agent - Life	9/27/2019