DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Gregory Keith	DOIID	1089255	NAIC NPN	5308756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/14/2020		10/31/2026
Active	Non Resident	Agent	Health	7/14/2020		10/31/2026
* 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	08/15/2024	10/31/2024	11/15/2024	11/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	3/31/2022
Active	American General Life Insurance Company	301585	Agent - Life	3/31/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	4/22/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	9/30/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/8/2024
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/14/2023
Active	Life Insurance Company of the Southwest	301867	Agent - Health	1/22/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	1/22/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/9/2022	7/15/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/9/2022	7/15/2022
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	3/7/2022	12/31/2022
Active	National Health Insurance Company	300554	Agent - Health	11/3/2020
Active	National Health Insurance Company	300554	Agent - Life	11/3/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	7/22/2020	6/27/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/22/2020	6/27/2022
Active	Pan-American Life Insurance Company	301530	Agent - Life	12/31/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	2/24/2022	12/21/2022
Active	Tier One Insurance Company	301056	Agent - Health	11/14/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Surepath Financial Group LLC	1256283	Agent - Life	2/14/2023
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/24/2020
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/24/2020