DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grygiel, Karen L	DOIID	379645	NAIC NPN	7204412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	7/20/1993	4/6/1998
Inactive	Resident	Agent	Health	1/24/1994	12/1/2000
Inactive	Resident	Agent	Life	1/24/1994	12/1/2000
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	7/2/1996	12/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/2/1996	12/31/1998
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/25/1999	8/30/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	1/25/1999	8/30/2000
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/12/1996	2/11/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	7/20/1993	4/6/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/24/1994	12/1/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/24/1994	12/1/2000
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/24/1994	8/16/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	9/26/1998	6/21/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	9/26/1998	6/21/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/28/1998	12/23/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/28/1998	12/23/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/31/1994	2/12/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/31/1994	2/12/1999
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/9/1995	3/18/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Bank-N.A.	399936	Agent - Credit Life & Health	7/2/1997	4/6/1998