DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grosse, Carolyn D	DOIID	332735	NAIC NPN	1640371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/6/1980	3/31/2008
Inactive	Resident	Agent	Health	2/5/1986	3/31/2008
Inactive	Resident	Agent	Health Maintenance Organization	4/14/1993	3/31/1997
* 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	American United Life Insurance Company	300498	Agent - Health	10/16/1980	7/14/2006
Inactive	American United Life Insurance Company	300498	Agent - Life	10/16/1980	7/14/2006
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/14/1993	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/27/1998	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/27/1998	3/31/2008
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	3/6/1980	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	3/6/1980	12/31/2001
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Inactive	Transamerica Assurance Company	300893	Agent - Health	4/23/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	4/23/2001	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/5/1986	3/20/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/5/1986	3/20/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/13/2000	7/28/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/13/2000	7/28/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/23/2001	4/4/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/23/2001	4/4/2005
Inactive	United American Insurance Company	300910	Agent - Health	7/18/1989	1/8/1998
Inactive	United American Insurance Company	300910	Agent - Life	7/18/1989	1/8/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/15/1998	3/31/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/15/1998	3/31/2008
Inactive	Grosse Insurance Agency Inc.	399158	Agent - Life	10/15/1981	3/31/2008
Inactive	Grosse Insurance Agency Inc.	399158	Agent - Health	2/5/1986	3/31/2008