DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grand Pierre, Clio	DOIID	1185275	NAIC NPN	12938176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/28/2022		10/31/2025
Active	Non Resident	Agent	Health	4/22/2022		10/31/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/29/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/29/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/29/2022
Active	American General Life Insurance Company	301585	Agent - Health	6/11/2024
Active	American General Life Insurance Company	301585	Agent - Life	6/11/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	8/7/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/31/2022	6/5/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/28/2022	5/8/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/29/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/24/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/7/2024	5/16/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/3/2022	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/28/2022	5/15/2024