DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Leslie E	DOIID	1082904	NAIC NPN	5936986

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/4/2020	5/31/2027
Active	Non Resident	Agent	Life	5/4/2020	5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	03/04/2025	03/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/17/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/8/2020	2/10/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/14/2021	2/10/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/17/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/17/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/11/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	5/8/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	5/8/2020
Active	SilverScript Insurance Company	663526	Agent - Health	5/11/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/11/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/11/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/11/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/17/2021	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/15/2023
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/15/2023