DEPARTMENT OF INSURANCE

Affiliations

Name	Gromack, Jeffrey Scott	DOIID	1134362	NAIC NPN	19848483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/13/2021	1/31/2026
Active	Non Resident	Agent	Health	5/13/2021	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	8/6/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/6/2024
Active	All Savers Insurance Company	301940	Agent - Health	6/24/2024
Active	All Savers Insurance Company	301940	Agent - Life	6/24/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/17/2024	12/27/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	10/17/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/6/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/6/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/14/2021	6/6/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/14/2021	6/6/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/14/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	6/14/2024
Active	MedMutual Life Insurance Company	301047	Agent - Health	1/20/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/11/2024
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	2/4/2025
Active	Reserve National Insurance Company	301073	Agent - Health	11/5/2024
Active	United Insurance Company of America	300775	Agent - Health	11/5/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/24/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/24/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/14/2021	6/6/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/14/2021	6/6/2024