DEPARTMENT OF INSURANCE

Affiliations

Name	Grace, Charles Glenn	DOIID	375662	NAIC NPN	5928756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/30/1991	11/16/2018
Inactive	Resident	Agent	Health	1/30/1991	11/16/2018
* 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	5 Star Life Insurance Company	300673	Agent - Health	7/1/2004	12/30/2014
Inactive	5 Star Life Insurance Company	300673	Agent - Life	7/1/2004	12/30/2014
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/5/2009	2/9/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/30/2015	11/16/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/5/2009	2/9/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/5/2009	2/9/2018
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/15/2001	3/4/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/15/2001	3/4/2002
Inactive	American Continental Insurance Company	643130	Agent - Health	4/16/2007	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	4/16/2007	2/17/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/20/2012	11/20/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/12/1996	3/20/1998
Inactive	American National Insurance Company	301861	Agent - Health	6/16/1992	3/31/1997
Inactive	American National Insurance Company	301861	Agent - Life	6/16/1992	3/31/1997
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/28/2009	11/22/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	10/28/2009	11/22/2010
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	11/6/1992	3/31/1997
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	11/6/1992	3/31/1997
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	8/8/2013	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	8/8/2013	12/18/2014
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	8/27/2001	11/1/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/27/2001	11/1/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/10/2001	2/25/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/10/2001	2/25/2003
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/25/2015	11/16/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/21/2017	11/16/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	1/21/2017	11/16/2018
Inactive	Clover Insurance Company	301587	Agent - Life	8/17/2001	7/22/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/14/2009	1/10/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/14/2009	1/10/2012
Inactive	Columbian Mutual Life Insurance Company	301130	Agent - Life	7/1/2011	10/27/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/1/2010	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/1/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/1/2010	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/21/2010	11/18/2010
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/17/2011	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/17/2011	6/11/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/2/2009	11/16/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/2/2009	4/22/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/9/2007	2/9/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/1/2010	12/8/2015
Inactive	Encova Life Insurance Company	301818	Agent - Life	7/9/2012	1/14/2015
Inactive	Everly Life Insurance Company	561641	Agent - Health	7/1/2006	2/23/2007
Inactive	Everly Life Insurance Company	561641	Agent - Life	1/12/2009	8/31/2009
Inactive	Family Life Insurance Company	300356	Agent - Health	7/1/2009	12/28/2010
Inactive	Family Life Insurance Company	300356	Agent - Life	7/1/2009	12/28/2010
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/23/2010	11/15/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/23/2010	11/15/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/25/2008	2/9/2018
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	11/12/2014	12/28/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/26/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/26/2011	12/26/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/21/2012	12/13/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/21/2012	12/13/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	8/30/2011	11/16/2018
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	4/24/2013	5/11/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/12/2007	1/3/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/12/2007	1/3/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2010	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/1/2010	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/1/2010	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/1/2010	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/1/2010	12/8/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/18/2010	11/12/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/18/2010	11/12/2012
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	6/26/2015	12/28/2016
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	6/26/2015	12/28/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/26/2000	2/1/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/26/2000	2/1/2018
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	8/16/1994	1/2/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	8/16/1994	1/2/1996
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/6/1992	2/2/1998
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/6/1992	2/2/1998
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/1/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/1/2010	10/22/2015
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/30/1991	3/4/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/30/1991	3/4/2002
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/12/2015	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/12/2015	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	8/16/2012	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	8/16/2012	12/21/2016
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/29/2015	2/21/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/6/2009	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/22/2008	12/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/22/2008	12/13/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/24/2012	1/22/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/7/2011	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/6/2008	7/17/2012
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	5/19/1995	5/1/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	5/19/1995	5/1/2003
Inactive	SILAC Insurance Company	300535	Agent - Health	5/20/2015	1/8/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	5/20/2015	1/8/2018
Inactive	Settlers Life Insurance Company	300189	Agent - Health	1/21/2003	7/1/2006
Inactive	Settlers Life Insurance Company	300189	Agent - Life	3/24/2003	7/1/2006
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/16/2016	11/16/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/4/2009	4/11/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/4/2009	4/11/2017
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/9/2009	11/16/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/9/2009	11/16/2018
Inactive	USG Annuity & Life Company	300457	Agent - Life	3/1/1993	3/31/1997
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	8/20/2001	6/20/2003
Inactive	United American Insurance Company	300910	Agent - Health	4/5/2016	12/23/2016
Inactive	United American Insurance Company	300910	Agent - Life	4/5/2016	12/23/2016
Inactive	United Home Life Insurance Company	300421	Agent - Life	5/16/2012	11/12/2013
Inactive	United World Life Insurance Company	300532	Agent - Health	2/6/2009	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/6/2009	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/6/2009	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/7/2011	2/2/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/6/2008	11/16/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	2/2/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/9/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/9/1995	3/31/1997
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/7/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	2/2/2018
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	7/14/1999	7/1/2011
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	10/28/2008	4/29/2010
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Life	10/28/2008	4/29/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2008	5/5/2010
Inactive	Wilco Life Insurance Company	300122	Agent - Health	6/9/1992	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	6/9/1992	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	11/16/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	11/16/2018
Inactive	Integrated Benefits Holdings, LLC	667992	Agent - Life	2/22/2008	11/16/2018
Inactive	Integrated Benefits Holdings, LLC	667992	Agent - Health	2/22/2008	11/16/2018
Inactive	L & G And Associates LLC	726439	Agent - Life	4/14/2010	4/22/2013
Inactive	L & G And Associates LLC	726439	Agent - Health	4/14/2010	4/22/2013