DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimes, Mark	DOIID	354280	NAIC NPN	7193345

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/12/1994	7/1/1996
Inactive	Resident	Agent	Health Maintenance Organization	5/24/1994	7/1/1996
Inactive	Resident	Agent	Health	4/12/1994	7/1/1996
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/24/1994	7/1/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/12/1994	7/1/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/12/1994	7/1/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Health	11/17/1994	7/1/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Life	11/17/1994	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	5/5/1994	7/1/1996
Inactive	Insurance One Inc.	399840	Agent - Health	5/5/1994	7/1/1996