DEPARTMENT OF INSURANCE

Affiliations

Name	Schrack, Grant Thomas Michael	DOIID	1047466	NAIC NPN	19204096

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/17/2019	1/31/2027
Active	Non Resident	Agent	Health	7/17/2019	1/31/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/7/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/24/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/11/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/7/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	10/24/2019	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	3/24/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	5/4/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/24/2020	2/12/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2021	2/12/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/24/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	8/8/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	8/8/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/19/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/7/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2019	2/4/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/12/2019	2/4/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/12/2019	2/4/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2019	2/4/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/6/2021

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 - Life	3/24/2020	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020	2/11/2025
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/3/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/3/2022