DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grigsby, Jeffrey Michael	DOIID	348858	NAIC NPN	1914080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/30/2008		12/31/2026
Active	Non Resident	Agent	Casualty	6/30/2008		12/31/2026
Inactive	Non Resident	Agent	General Lines	7/22/1998	8/15/2000
* 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	ACE American Insurance Company	300625	Agent - Casualty	1/20/2017
Active	ACE American Insurance Company	300625	Agent - Property	1/20/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/15/2003	2/28/2005
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	11/2/1998	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/15/2003	2/28/2005
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/22/2008	4/3/2014
Inactive	Continental Casualty Company	301019	Agent - Property	9/22/2008	4/3/2014
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	8/15/2000	1/22/2004
Inactive	Government Employees Insurance Company	300376	Agent - General Lines	7/22/1998	8/15/2000
Inactive	Government Employees Insurance Company	300376	Agent - Property	8/15/2000	1/22/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/15/2003	2/28/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	11/2/1998	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/15/2003	2/28/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	3/22/2002
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	11/24/1999	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	3/22/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	1/20/2017	8/14/2019
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	1/20/2017	8/14/2019
Inactive	Victor Insurance Managers LLC	518018	Agent - Property	7/22/2009	4/3/2014
Inactive	Victor Insurance Managers LLC	518018	Agent - Casualty	7/22/2009	4/3/2014