DEPARTMENT OF INSURANCE
Affiliations
NameGross, David ADOIID370035NAIC NPN1158779
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 9/30/2024
ActiveResidentAgentLife1/6/1984 9/30/2024
ActiveResidentAgentCasualty8/15/2000 9/30/2024
ActiveResidentAgentHealth1/6/1984 9/30/2024
InactiveResidentAgentHealth Maintenance Organization1/4/19903/1/2001 
InactiveResidentAgentGeneral Lines10/26/19818/15/2000 
ActiveResidentLife & Health ConsultantNot Applicable6/24/1998 9/30/2024
ActiveResidentSurplus Lines BrokerNot Applicable12/8/1996 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Life & Health Consultant07/15/202409/30/2024   
Surplus Lines Broker07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - General Lines9/9/19923/31/1998
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines9/9/19923/31/1998
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines9/9/19923/31/1998
InactiveAccendo Insurance Company300312Agent - Health4/18/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life11/4/2020 
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization4/20/20003/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20075/11/2019
InactiveAetna Health Insurance Company301583Agent - Health3/3/20005/11/2019
ActiveAetna Health and Life Insurance Company300523Agent - Health11/4/2020 
InactiveAetna Life Insurance Company301140Agent - Health4/26/19995/11/2019
InactiveAetna Life Insurance Company301140Agent - Life4/26/19995/11/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Health11/21/199610/7/2011
InactiveAllianz Life Insurance Company of North America301791Agent - Life11/21/199610/7/2011
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/15/200012/5/2005
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines8/3/19938/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/15/200012/5/2005
InactiveAmerican Continental Insurance Company643130Agent - Life11/4/20208/11/2021
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/8/2019 
InactiveAmerican Economy Insurance Company300315Agent - General Lines3/11/19938/15/2000
ActiveAmerican Economy Insurance Company300315Agent - Property11/8/2019 
InactiveAmerican Fidelity Assurance Company301004Agent - Health6/24/20028/2/2005
InactiveAmerican Fidelity Assurance Company301004Agent - Life6/24/20028/2/2005
ActiveAmerican Fire and Casualty Company300567Agent - Casualty10/7/2008 
ActiveAmerican Fire and Casualty Company300567Agent - Property10/7/2008 
InactiveAmerican General Life Insurance Company301585Agent - Health9/3/200210/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life9/3/200210/25/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health8/22/198612/27/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life8/22/198612/27/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health10/19/19986/26/2000
InactiveAmerican Heritage Life Insurance Company300272Agent - Life10/19/19986/26/2000
InactiveAmerican Select Insurance Company301229Agent - Casualty3/23/20018/5/2009
InactiveAmerican Select Insurance Company301229Agent - Property3/23/20018/5/2009
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/200012/27/2001
InactiveAmerican States Insurance Company301230Agent - General Lines3/11/19938/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/200012/27/2001
InactiveAmerican States Life Insurance Company301884Agent - Health3/11/199312/4/2001
InactiveAmerican States Life Insurance Company301884Agent - Life3/11/199312/4/2001
InactiveAmerican States Preferred Insurance Company300609Agent - Casualty8/15/200012/26/2001
InactiveAmerican States Preferred Insurance Company300609Agent - General Lines3/11/19938/15/2000
InactiveAmerican States Preferred Insurance Company300609Agent - Property8/15/200012/26/2001
ActiveAmerican United Life Insurance Company300498Agent - Health8/10/2021 
ActiveAmerican United Life Insurance Company300498Agent - Life8/10/2021 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization1/4/19903/31/1997
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/17/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health2/1/2006 
ActiveAnthem Life Insurance Company301209Agent - Life2/1/2006 
InactiveArcadian Health Plan, Inc.728196Agent - Health9/29/202012/13/2022
InactiveAssurance Company of America300432Agent - General Lines12/7/19903/31/1996
ActiveAssurity Life Insurance Company301099Agent - Health3/26/2024 
ActiveAssurity Life Insurance Company301099Agent - Life3/26/2024 
InactiveAugustar Life Assurance Corporation301113Agent - Health9/6/201910/6/2021
InactiveAugustar Life Assurance Corporation301113Agent - Life9/6/201910/6/2021
InactiveAugustar Life Insurance Company301816Agent - Health3/29/19933/10/2007
InactiveAugustar Life Insurance Company301816Agent - Life9/6/201910/6/2021
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/200010/24/2005
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines12/3/19998/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/200010/24/2005
InactiveBankers Standard Insurance Company301620Agent - General Lines9/9/19923/31/1998
ActiveBanner Life Insurance Company301696Agent - Life8/22/2006 
ActiveBeneficial Life Insurance Company301688Agent - Life4/14/2008 
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20141/26/2018
InactiveBristol West Insurance Company301655Agent - Casualty5/21/200712/7/2017
InactiveBristol West Insurance Company301655Agent - Property5/21/200712/7/2017
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/4/19973/31/1998
InactiveCHA HMO, Inc.300662Agent - Health3/1/20012/25/2003
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization4/7/19993/1/2001
InactiveCentury Indemnity Company301310Agent - General Lines9/9/19923/31/1998
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/200010/24/2005
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines12/3/19998/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/200010/24/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health8/17/20013/28/2006
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/17/20013/28/2006
InactiveChase Life and Annuity Company300145Agent - Health4/23/199112/11/1996
InactiveChase Life and Annuity Company300145Agent - Life4/23/199112/11/1996
ActiveCincinnati Life Insurance Company (The)300601Agent - Life3/18/2019 
InactiveClarendon National Insurance Company300843Agent - Health4/19/200210/21/2005
InactiveColumbus Life Insurance Company301227Agent - Life11/15/20112/3/2014
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/4/19973/31/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health2/14/200512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health11/6/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/6/20097/2/2013
InactiveCompDent Corporation301387Agent - Health3/24/200312/23/2004
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveConseco Medical Insurance Company300719Agent - Health11/15/19961/2/2002
InactiveConseco Medical Insurance Company300719Agent - Life11/15/19961/2/2002
InactiveConsolidated Insurance Company300943Agent - Casualty8/15/20004/26/2024
InactiveConsolidated Insurance Company300943Agent - General Lines12/22/19818/15/2000
InactiveConsolidated Insurance Company300943Agent - Property8/15/20004/26/2024
InactiveContinental Casualty Company301019Agent - Casualty8/15/200012/5/2005
InactiveContinental Casualty Company301019Agent - General Lines8/3/19938/15/2000
InactiveContinental Casualty Company301019Agent - Health12/9/199912/22/2005
InactiveContinental Casualty Company301019Agent - Property8/15/200012/5/2005
InactiveContinental Insurance Company (The)301242Agent - Casualty2/24/20062/12/2008
InactiveContinental Insurance Company (The)301242Agent - General Lines1/31/19978/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property2/24/20062/12/2008
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/4/2020 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life4/18/2023 
InactiveCountry Investors Life Assurance Company301973Agent - Health1/19/200112/9/2008
InactiveCountry Investors Life Assurance Company301973Agent - Life1/19/200112/9/2008
InactiveCountry Life Insurance Company300595Agent - Health1/19/200112/9/2008
InactiveCountry Life Insurance Company300595Agent - Life1/19/200112/9/2008
InactiveCoventry Health and Life Insurance Company301771Agent - Health4/16/20105/11/2019
ActiveDental Care Plus Inc.301495Agent - Health9/15/2006 
InactiveDental Concern Inc. (The)301641Agent - Health6/25/202112/13/2022
InactiveEMC National Life Company300388Agent - Health7/1/20051/22/2019
InactiveEMC National Life Company300388Agent - Life7/1/20051/22/2019
InactiveEMCASCO Insurance Company842790Agent - Casualty2/12/201511/6/2020
InactiveEMCASCO Insurance Company842790Agent - Property2/12/201511/6/2020
InactiveElectric Insurance Company301758Agent - Casualty5/13/20058/21/2009
InactiveElectric Insurance Company301758Agent - Property5/13/20058/21/2009
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty1/16/2019 
ActiveEmployers Insurance Company of Wausau301813Agent - Property1/16/2019 
InactiveEmployers Mutual Casualty Company300202Agent - Casualty7/1/200511/6/2020
InactiveEmployers Mutual Casualty Company300202Agent - Property7/1/200511/6/2020
ActiveEncompass Indemnity Company546376Agent - Casualty8/14/2012 
ActiveEncompass Indemnity Company546376Agent - Property8/14/2012 
ActiveEncompass Insurance Company of America556578Agent - Casualty8/14/2012 
ActiveEncompass Insurance Company of America556578Agent - Property8/14/2012 
InactiveEncova Life Insurance Company301818Agent - Life2/5/20031/1/2024
InactiveFarmers Insurance Exchange300336Agent - Casualty1/16/20048/21/2012
InactiveFarmers Insurance Exchange300336Agent - Property1/16/20048/21/2012
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/9/2009 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/9/2009 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health7/5/199510/18/1999
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/7/200212/20/2012
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health8/17/200110/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life10/14/20127/26/2016
ActiveFidelity Security Life Insurance Company300466Agent - Health9/22/2006 
ActiveFidelity Security Life Insurance Company300466Agent - Life9/22/2006 
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/20009/3/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/4/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/20009/3/2002
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines2/5/19973/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Health10/15/20011/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life10/15/20011/1/2007
InactiveFirst Health Life & Health Insurance Company301735Agent - Health4/16/20105/11/2019
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty1/16/2019 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property1/16/2019 
InactiveFirst National Insurance Company of America301690Agent - Casualty10/7/20084/26/2024
InactiveFirst National Insurance Company of America301690Agent - General Lines11/1/19988/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property10/7/20084/26/2024
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/17/2003 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/17/2003 
ActiveGeneral Insurance Company of America300261Agent - Casualty10/7/2008 
InactiveGeneral Insurance Company of America300261Agent - General Lines11/1/19988/15/2000
ActiveGeneral Insurance Company of America300261Agent - Property10/7/2008 
InactiveGenworth Life Insurance Company300623Agent - Health8/1/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/1/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health5/13/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/10/201412/14/2016
InactiveGerber Life Insurance Company300529Agent - Health12/30/200912/15/2011
InactiveGerber Life Insurance Company300529Agent - Life12/30/200912/15/2011
ActiveGleaner Life Insurance Society689297Agent - Life6/8/2020 
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/4/199712/30/1999
ActiveGolden Rule Insurance Company301943Agent - Health6/17/2013 
ActiveGolden Rule Insurance Company301943Agent - Life6/17/2013 
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health7/2/201012/17/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life7/2/201012/17/2012
ActiveGrange Indemnity Insurance Company300793Agent - Casualty12/22/2016 
ActiveGrange Indemnity Insurance Company300793Agent - Property12/22/2016 
ActiveGrange Insurance Company300234Agent - Casualty8/15/2000 
InactiveGrange Insurance Company300234Agent - General Lines5/5/19958/15/2000
ActiveGrange Insurance Company300234Agent - Property8/15/2000 
InactiveGrange Life Insurance Company300128Agent - Health5/5/19953/31/2021
InactiveGrange Life Insurance Company300128Agent - Life5/5/199512/28/2020
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty2/7/2008 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property2/7/2008 
InactiveGreat American Insurance Company301586Agent - Casualty8/15/20008/7/2002
InactiveGreat American Insurance Company301586Agent - General Lines12/29/19988/15/2000
InactiveGreat American Insurance Company301586Agent - Property8/15/20008/7/2002
InactiveGuarantee Life Insurance Company301560Agent - Health5/19/19984/17/2000
InactiveGuarantee Life Insurance Company301560Agent - Life5/19/19984/17/2000
InactiveGuideOne Elite Insurance Company300490Agent - Casualty7/9/201310/31/2022
InactiveGuideOne Elite Insurance Company300490Agent - General Lines7/22/19948/15/2000
InactiveGuideOne Elite Insurance Company300490Agent - Property7/9/201310/20/2020
InactiveGuideOne Insurance Company301794Agent - Casualty7/9/201310/31/2022
InactiveGuideOne Insurance Company301794Agent - General Lines7/22/19948/15/2000
InactiveGuideOne Insurance Company301794Agent - Property7/9/201310/20/2020
InactiveGuideOne Life Insurance Company300098Agent - Health11/3/19999/30/2003
InactiveGuideOne Life Insurance Company300098Agent - Life11/3/19999/30/2003
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty7/9/201310/31/2022
InactiveGuideOne Specialty Insurance Company300278Agent - General Lines7/22/19948/15/2000
InactiveGuideOne Specialty Insurance Company300278Agent - Property7/9/201310/20/2020
InactiveHamilton Mutual Insurance Company301111Agent - Casualty7/1/200512/15/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property7/1/200512/15/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Health7/17/20125/30/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life7/17/20125/30/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/29/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/29/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health Maintenance Organization7/2/19963/1/2001
ActiveHumana Health Plan, Inc.300142Agent - Health12/15/2022 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/30/19963/1/2001
ActiveHumana Insurance Company301104Agent - Health12/15/2022 
InactiveHumana Insurance Company301104Agent - Life11/19/199012/13/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/15/2022 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/15/2022 
InactiveHumana Medical Plan, Inc.801568Agent - Health9/29/202012/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health9/29/202012/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health10/18/20015/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/10/20135/16/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/10/20135/16/2013
InactiveIndemnity Insurance Company of North America301760Agent - General Lines9/9/19923/31/1998
InactiveIndiana Insurance Company301909Agent - Casualty8/15/20002/3/2023
InactiveIndiana Insurance Company301909Agent - General Lines12/22/19818/15/2000
InactiveIndiana Insurance Company301909Agent - Property8/15/20002/3/2023
InactiveInfinity Casualty Insurance Company301280Agent - General Lines4/14/19872/14/2000
InactiveInsurance Company of North America300226Agent - General Lines9/9/19923/31/1998
InactiveInvestors Life Insurance Company of Indiana301657Agent - Health1/23/19924/9/2001
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life1/23/19924/9/2001
InactiveJohn Alden Life Insurance Company300573Agent - Health5/24/200412/29/2010
InactiveJohn Alden Life Insurance Company300573Agent - Life5/24/200412/29/2010
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/3/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/3/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/30/20094/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/30/200912/31/2010
InactiveKanawha Insurance Company300127Agent - Health4/10/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life4/10/200810/22/2015
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/199712/30/1999
InactiveKansas City Life Insurance Company301444Agent - Health9/30/20033/20/2009
ActiveKansas City Life Insurance Company301444Agent - Life10/1/2018 
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/25/201310/29/2015
InactiveKentucky National Insurance Company301625Agent - General Lines12/16/19913/31/1996
ActiveLM Insurance Corporation301061Agent - Casualty1/16/2019 
ActiveLM Insurance Corporation301061Agent - Property1/16/2019 
ActiveLiberty Insurance Corporation300444Agent - Casualty1/16/2019 
ActiveLiberty Insurance Corporation300444Agent - Property1/16/2019 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty1/16/2019 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property1/16/2019 
InactiveLife Insurance Company of North America300711Agent - Health3/3/19926/16/1997
InactiveLife Insurance Company of North America300711Agent - Life3/3/19926/16/1997
InactiveLifeUSA Insurance Company300386Agent - Health11/21/19963/31/1997
InactiveLifeUSA Insurance Company300386Agent - Life11/21/19963/31/1997
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/16/2008 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/16/2008 
InactiveMaryland Casualty Company301719Agent - General Lines12/7/19903/31/1996
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life1/19/2024 
InactiveMeridian Mutual Insurance Company301303Agent - Casualty8/15/20006/1/2001
InactiveMeridian Mutual Insurance Company301303Agent - General Lines5/22/20008/15/2000
InactiveMeridian Mutual Insurance Company301303Agent - Property8/15/20006/1/2001
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/25/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/25/200911/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health1/28/199812/14/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life1/28/199812/14/2012
InactiveMidland Life Insurance Company (The)300310Agent - Life3/21/19963/31/2001
InactiveMidland National Life Insurance Company300923Agent - Health2/23/20125/23/2016
InactiveMidland National Life Insurance Company300923Agent - Life1/23/20135/23/2016
InactiveMount Vernon Fire Insurance Company301397Agent - Casualty5/15/201512/17/2015
InactiveMount Vernon Fire Insurance Company301397Agent - Property5/15/201512/17/2015
ActiveMutual of Omaha Insurance Company301012Agent - Health12/17/1996 
InactiveNational Casualty Company301483Agent - Health2/13/199512/9/1997
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/15/200012/5/2005
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines8/3/19938/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/15/200012/5/2005
ActiveNational Guardian Life Insurance Company300596Agent - Health3/7/2016 
ActiveNational Health Insurance Company300554Agent - Health10/3/2017 
ActiveNational Health Insurance Company300554Agent - Life4/29/2019 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/15/2000 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines2/9/19938/15/2000
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health5/4/2012 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/15/2000 
InactiveNational Western Life Insurance Company301515Agent - Life1/22/201412/23/2015
InactiveNationwide Life Insurance Company300495Agent - Health11/21/199611/16/2006
InactiveNetherlands Insurance Company (The)300339Agent - Casualty8/15/20004/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - General Lines3/14/19988/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Property8/15/20004/26/2024
InactiveNew England Life Insurance Company300343Agent - Health12/6/199612/2/2009
InactiveNew England Life Insurance Company300343Agent - Life12/6/199612/2/2009
InactiveNorthern Insurance Company of New York301317Agent - Casualty1/16/200412/16/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines12/7/19903/31/1996
InactiveNorthern Insurance Company of New York301317Agent - Property1/16/200412/16/2014
ActiveOhio Casualty Insurance Company301492Agent - Casualty10/30/2000 
ActiveOhio Casualty Insurance Company301492Agent - Property10/30/2000 
InactiveOhio Farmers Insurance Company301667Agent - Casualty8/15/20008/5/2009
InactiveOhio Farmers Insurance Company301667Agent - General Lines4/10/19898/15/2000
InactiveOhio Farmers Insurance Company301667Agent - Property8/15/20008/5/2009
ActiveOhio Security Insurance Company300622Agent - Casualty10/7/2008 
ActiveOhio Security Insurance Company300622Agent - Property10/7/2008 
InactiveOld Guard Insurance Company533854Agent - Casualty6/2/20216/11/2021
InactiveOld Guard Insurance Company533854Agent - Property6/2/20216/11/2021
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/13/20003/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life10/13/20003/31/2003
InactiveOmaha Insurance Company751908Agent - Health8/22/20128/8/2018
InactivePacifiCare Life Assurance Company301082Agent - Health6/25/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/25/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization3/11/19973/1/2001
InactivePacific Employers Insurance Company301753Agent - General Lines9/9/19923/31/1998
ActivePacific Life Insurance Company301848Agent - Life9/21/2022 
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty9/8/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Property9/8/2007 
ActivePeerless Insurance Company301910Agent - Casualty8/15/2000 
InactivePeerless Insurance Company301910Agent - General Lines5/20/19878/15/2000
ActivePeerless Insurance Company301910Agent - Property8/15/2000 
InactivePhysicians Life Insurance Company300924Agent - Life12/13/20012/15/2003
InactivePhysicians Mutual Insurance Company301084Agent - Health4/23/200412/13/2006
ActivePrincipal Life Insurance Company300129Agent - Health12/23/2008 
ActivePrincipal Life Insurance Company300129Agent - Life12/23/2008 
ActivePrincipal National Life Insurance Company301926Agent - Life6/30/2021 
InactiveProAssurance Casualty Company300928Agent - Casualty5/19/201612/31/2023
ActiveProAssurance Indemnity Company, Inc.301859Agent - Casualty12/13/2023 
InactiveProtective Life Insurance Company300638Agent - Health10/26/202011/23/2023
InactiveProtective Life Insurance Company300638Agent - Life10/26/202011/23/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/28/200010/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/28/200010/8/2021
InactivePruco Life Insurance Company300954Agent - Health3/22/201112/23/2014
ActivePruco Life Insurance Company300954Agent - Life4/8/2022 
InactiveReliaStar Life Insurance Company301712Agent - Health8/25/20082/26/2016
InactiveReliaStar Life Insurance Company301712Agent - Life8/25/20082/26/2016
ActiveReliance Standard Life Insurance Company300584Agent - Health8/18/2011 
ActiveReliance Standard Life Insurance Company300584Agent - Life8/18/2011 
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/7/2008 
InactiveSAFECO Insurance Company of America300159Agent - General Lines11/1/19988/15/2000
ActiveSAFECO Insurance Company of America300159Agent - Property10/7/2008 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/7/2008 
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines11/1/19988/15/2000
ActiveSAFECO Insurance Company of Illinois301350Agent - Property10/7/2008 
InactiveSecurity Life of Denver Insurance Company300648Agent - Health8/25/20089/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life8/25/20089/29/2012
InactiveShenandoah Life Insurance Company300130Agent - Health9/26/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life9/26/200611/17/2007
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/200010/24/2005
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines12/3/19998/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/200010/24/2005
ActiveStandard Insurance Company300185Agent - Health3/11/2003 
ActiveStandard Insurance Company300185Agent - Life3/11/2003 
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/22/20021/11/2010
InactiveStarmount Life Insurance Company628031Agent - Health1/8/201910/8/2021
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty2/2/2021 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property2/2/2021 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20005/28/2003
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines1/23/19928/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20005/28/2003
ActiveState Life Insurance Company301497Agent - Life11/16/2023 
ActiveSuperior Dental Care Inc.300418Agent - Health12/17/2009 
InactiveSymetra Life Insurance Company301691Agent - Health9/21/200712/17/2013
InactiveSymetra Life Insurance Company301691Agent - Life9/21/200712/17/2013
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/200010/24/2005
InactiveThe Phoenix Insurance Company301502Agent - General Lines12/3/19998/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/200010/24/2005
InactiveTime Insurance Company300683Agent - Health7/19/201211/22/2019
InactiveTime Insurance Company300683Agent - Life7/19/201211/22/2019
ActiveTransamerica Life Insurance Company300571Agent - Health5/27/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life5/27/2021 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health4/27/19933/31/1997
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life4/27/19933/31/1997
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/6/20195/22/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/6/20195/22/2020
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200012/5/2005
InactiveTranscontinental Insurance Company301731Agent - General Lines8/3/19938/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200012/5/2005
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200012/5/2005
InactiveTransportation Insurance Company301575Agent - General Lines8/3/19938/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200012/5/2005
InactiveTravCo Insurance Company301828Agent - Casualty8/15/200010/24/2005
InactiveTravCo Insurance Company301828Agent - General Lines12/3/19998/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/200010/24/2005
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200210/24/2005
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200210/24/2005
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/200510/24/2005
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/200510/24/2005
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/200012/21/2015
InactiveTravelers Indemnity Company (The)301855Agent - General Lines12/3/19998/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/200012/21/2015
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/200210/24/2005
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/200210/24/2005
InactiveTruck Insurance Exchange300335Agent - Casualty5/29/20078/21/2012
InactiveTruck Insurance Exchange300335Agent - Property5/29/20078/21/2012
ActiveTrustgard Insurance Company300104Agent - Casualty12/22/2016 
ActiveTrustgard Insurance Company300104Agent - Property12/22/2016 
InactiveU.S. Financial Life Insurance Company301812Agent - Health8/4/19979/5/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/4/19979/5/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health8/25/199710/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life8/25/199710/8/2021
InactiveUnion Central Life Insurance Company300307Agent - Health10/6/20001/22/2007
InactiveUnion Central Life Insurance Company300307Agent - Life10/6/20001/22/2007
InactiveUnion Insurance Company of Providence842791Agent - Casualty2/12/201511/6/2020
InactiveUnion Insurance Company of Providence842791Agent - Property2/12/201511/6/2020
InactiveUnion Security Insurance Company301844Agent - Health12/21/19873/31/1997
InactiveUnion Security Insurance Company301844Agent - Life12/21/19873/31/1997
InactiveUnited American Insurance Company300910Agent - Health6/4/199112/15/2006
InactiveUnited American Insurance Company300910Agent - Life6/4/199112/15/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Health4/5/20017/10/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Life4/5/20017/10/2006
InactiveUnited States Fidelity and Guaranty Company301449Agent - Casualty8/15/20002/20/2004
InactiveUnited States Fidelity and Guaranty Company301449Agent - General Lines10/26/19818/15/2000
InactiveUnited States Fidelity and Guaranty Company301449Agent - Property8/15/200012/18/2003
InactiveUnited Wisconsin Insurance Company301103Agent - Health7/21/20007/10/2006
ActiveUnited World Life Insurance Company300532Agent - Health11/5/2018 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health12/17/1996 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life12/17/1996 
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/7/200512/14/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/7/200512/14/2009
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/12/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/12/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/18/20152/14/2017
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/7/200512/14/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization11/17/19973/1/2001
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty7/15/20057/28/2017
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property7/15/20057/28/2017
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty7/15/200512/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property7/15/200512/2/2013
InactiveUnum Insurance Company301499Agent - Health1/8/201910/8/2021
InactiveUnum Insurance Company301499Agent - Life1/8/201910/8/2021
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/200012/5/2005
InactiveValley Forge Insurance Company301052Agent - General Lines8/3/19938/15/2000
InactiveValley Forge Insurance Company301052Agent - Property8/15/200012/5/2005
InactiveWellpoint Life and Health Insurance Company300469Agent - Health4/22/200512/3/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life4/22/200512/3/2010
ActiveWest American Insurance Company301112Agent - Casualty10/7/2008 
ActiveWest American Insurance Company301112Agent - Property10/7/2008 
ActiveWest Bend Insurance Company672974Agent - Casualty6/22/2011 
ActiveWest Bend Insurance Company672974Agent - Property6/22/2011 
InactiveWest Coast Life Insurance Company301607Agent - Health10/5/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life10/5/200911/16/2011
InactiveWestfield Champion Insurance Company1054839Agent - Casualty6/2/20216/11/2021
InactiveWestfield Champion Insurance Company1054839Agent - Property6/2/20216/11/2021
ActiveWestfield Insurance Company301950Agent - Casualty8/15/2000 
InactiveWestfield Insurance Company301950Agent - General Lines4/10/19898/15/2000
ActiveWestfield Insurance Company301950Agent - Property8/15/2000 
InactiveWestfield National Insurance Company301036Agent - Casualty8/15/20008/5/2009
InactiveWestfield National Insurance Company301036Agent - General Lines4/10/19898/15/2000
InactiveWestfield National Insurance Company301036Agent - Property8/15/20008/5/2009
InactiveWestfield Premier Insurance Company1055055Agent - Casualty6/2/20216/11/2021
InactiveWestfield Premier Insurance Company1055055Agent - Property6/2/20216/11/2021
InactiveWestfield Superior Insurance Company1054978Agent - Casualty6/2/20216/11/2021
InactiveWestfield Superior Insurance Company1054978Agent - Property6/2/20216/11/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/2/20216/11/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Property6/2/20216/11/2021
InactiveWilco Life Insurance Company300122Agent - Life9/11/20015/5/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCBISA Reaquisitian Corp547026Agent - Life12/20/2007 
ActiveCBISA Reaquisitian Corp547026Agent - Health12/20/2007 
InactiveDG Financial Services LLC602722Agent - Life9/17/20073/31/2013
InactiveDG Financial Services LLC602722Agent - Health9/17/20073/31/2013
InactiveDG Financial Services LLC602722Agent - Property9/17/20073/31/2013
InactiveDG Financial Services LLC602722Agent - Casualty9/17/20073/31/2013
ActiveDental Choice Agency Inc.398085Agent - Health12/13/2001 
ActiveDesignated Agent Company Inc.681257Agent - Life12/13/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 
ActiveDiversified Brokerage Specialists Inc.399027Agent - Life3/5/2019 
ActiveDiversified Brokerage Specialists Inc.399027Agent - Health3/5/2019 
InactiveFrank Gross Insurance Agency Inc.398821Agent - Health Maintenance Organization5/26/20003/1/2001
InactiveFrank Gross Insurance Agency Inc.398821Agent - Life1/6/19844/1/2007
InactiveFrank Gross Insurance Agency Inc.398821Agent - Health1/6/19844/1/2007
InactiveFrank Gross Insurance Agency Inc.398821Agent - General Lines1/6/19848/15/2000
InactiveFrank Gross Insurance Agency Inc.398821Agent - Property8/15/20003/31/2007
InactiveFrank Gross Insurance Agency Inc.398821Agent - Casualty8/15/20003/31/2007
ActiveGross Insurance Agency, LLC600690Agent - Life1/19/2005 
ActiveGross Insurance Agency, LLC600690Agent - Health1/19/2005 
ActiveGross Insurance Agency, LLC600690Agent - Property1/19/2005 
ActiveGross Insurance Agency, LLC600690Agent - Casualty1/19/2005 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveMedlink Inc400721Agent - Life11/4/19913/31/2024
InactiveMedlink Inc400721Agent - Health11/4/19913/31/2024
ActivePlanchoice Inc.400482Agent - Health4/17/2014 

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