DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Galen Everett	DOIID	1219722	NAIC NPN	19503332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	7/28/2022		5/31/2025
Pending Replacement	Non Resident	Agent	Life	7/28/2022		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/1/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/1/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/1/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/2/2023	10/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/2/2023	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/2/2023	10/25/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/29/2022	7/27/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/2/2023	10/25/2023
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2022	11/21/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/7/2023	11/21/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/1/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/29/2022	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/29/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/29/2022	7/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/11/2022	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024