DEPARTMENT OF INSURANCE
Affiliations
NameGross, David ADOIID370035NAIC NPN1158779
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty8/15/2000 9/30/2026
ActiveResidentAgentProperty8/15/2000 9/30/2026
ActiveResidentAgentHealth1/6/1984 9/30/2026
ActiveResidentAgentLife1/6/1984 9/30/2026
InactiveResidentAgentGeneral Lines10/26/19818/15/2000 
InactiveResidentAgentHealth Maintenance Organization1/4/19903/1/2001 
ActiveResidentLife & Health ConsultantNot Applicable6/24/1998 9/30/2026
ActiveResidentLife Settlement BrokerNot Applicable9/6/2024 9/30/2026
ActiveResidentSurplus Lines BrokerNot Applicable12/8/1996 9/30/2026
* 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
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
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/21/2024 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/21/2024 
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
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/17/202212/19/2024
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 
InactiveBrighthouse Life Insurance Company301829Agent - Health11/14/201410/9/2024
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
ActiveCareSource Kentucky Co.838179Agent - Health3/7/2025 
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
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
InactiveEncompass Indemnity Company546376Agent - Casualty8/14/201210/3/2024
InactiveEncompass Indemnity Company546376Agent - Property8/14/201210/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty8/14/201210/3/2024
InactiveEncompass Insurance Company of America556578Agent - Property8/14/201210/3/2024
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 
ActiveGCU962873Agent - Life7/9/2024 
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
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/15/202212/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/15/202212/12/2024
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
InactivePruco Life Insurance Company300954Agent - Life4/8/202212/23/2024
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 
InactiveRiverStone International Insurance, Inc.301758Agent - Casualty5/13/20058/21/2009
InactiveRiverStone International Insurance, Inc.301758Agent - Property5/13/20058/21/2009
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
InactiveTransamerica Life Insurance Company300571Agent - Health5/27/20212/21/2025
InactiveTransamerica Life Insurance Company300571Agent - Life5/27/20212/21/2025
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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