DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Graves, Jerry Thomas	DOIID	346273	NAIC NPN	7189771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/25/1988	9/8/1996
Inactive	Resident	Agent	Health	4/25/1988	9/8/1996
* 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	First Colony Life Insurance Company	301179	Agent - Health	4/16/1993	9/8/1996
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/16/1993	9/8/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/2/1988	9/8/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/2/1988	9/8/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/22/1994	1/17/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/22/1994	1/17/1996
Inactive	New York Life Insurance Company	300431	Agent - Health	4/25/1988	8/23/1996
Inactive	New York Life Insurance Company	300431	Agent - Life	4/25/1988	8/23/1996
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/25/1988	8/23/1996
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/25/1988	8/23/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	9/8/1996
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	9/8/1996