DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grossman, Heather Carr	DOIID	368196	NAIC NPN	7199419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Administrator	Not Applicable
Active	Resident	Agent	Health	4/25/1995		11/30/2024
Active	Resident	Agent	Life	4/25/1995		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	5/2/2014	12/3/2020
Inactive	All Savers Insurance Company	301940	Agent - Life	5/2/2014	12/3/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	5/12/1999
Active	Anthem Life Insurance Company	301209	Agent - Life	5/12/1999
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/18/2002	8/9/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2003	11/13/2009
Inactive	Humana Insurance Company	300118	Agent - Health	4/25/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	1/6/2003	11/13/2009
Inactive	Humana Insurance Company	300118	Agent - Life	4/25/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	1/6/2003	11/13/2009
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/14/2002	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/14/2002	9/3/2004
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/21/2003	9/27/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	6/7/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	6/7/2021

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	5/24/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/24/1999	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	WLA Insurance, LLC	521297	Agent - Life	2/20/2003
Active	WLA Insurance, LLC	521297	Agent - Health	2/20/2003