DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grosso, Michael	DOIID	1217486	NAIC NPN	20372360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/19/2022		11/30/2024
* 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	09/15/2024	11/30/2024

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	8/28/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/28/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/28/2024
Active	American General Life Insurance Company	301585	Agent - Health	9/18/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2022	6/5/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/7/2022	6/5/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2022	6/5/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2022	6/5/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/28/2024

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 - Health	1/22/2024	6/5/2024