DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Kizzy Royice	DOIID	1184547	NAIC NPN	15322645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/25/2022	4/30/2024
Inactive	Non Resident	Agent	Life	1/25/2022	4/30/2024
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	3/23/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/23/2022	4/5/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/1/2022	4/30/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/23/2022	4/5/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/1/2022	4/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/1/2022	4/30/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Health	1/28/2022	2/25/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	1/28/2022	2/25/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/30/2022	6/21/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/23/2022	4/5/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/23/2022	4/5/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/6/2023	6/26/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/6/2023	6/26/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/1/2022	4/30/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/30/2022	6/21/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/30/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/30/2022	6/21/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/25/2023	11/9/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/25/2023	11/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Life	4/1/2022	12/5/2022
Inactive	Trubridge Inc	717747	Agent - Health	4/1/2022	12/2/2023