DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Lori K	DOIID	1151779	NAIC NPN	5074888

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/16/2021		12/31/2024
Active	Non Resident	Agent	Casualty	8/16/2021		12/31/2024
Active	Non Resident	Agent	Life	8/16/2021		12/31/2024
Active	Non Resident	Agent	Health	8/16/2021		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/23/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/23/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/23/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Sunstar Ins Group LLC	798919	Agent - Casualty
Active	Sunstar Ins Group LLC	798919	Agent - Life	10/20/2022
Active	Sunstar Ins Group LLC	798919	Agent - Health	10/20/2022
Denied	Sunstar Ins Group LLC	798919	Agent - Property