DEPARTMENT OF INSURANCE

Affiliations

Name	Grimsley Insurance Agency Inc.	DOIID	399862	NAIC NPN	7221998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/4/1993	3/6/2012
Inactive	Resident	Agent	Health	6/4/1993	3/6/2012
* 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	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/22/1993	3/6/2012
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/22/1993	3/6/2012
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/25/2001	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/25/2001	6/26/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	2/26/2001	1/25/2005
Inactive	Continental General Insurance Company	300691	Agent - Life	2/26/2001	1/25/2005
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/30/1998	8/31/1998
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/30/1998	8/31/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/4/1993	3/6/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/4/1993	3/6/2012
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/11/2006	3/6/2012
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	8/11/2006	3/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/2/1993	3/31/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/2/1993	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	6/22/1993	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	6/22/1993	7/18/2003
Inactive	Settlers Life Insurance Company	300189	Agent - Health	8/16/1993	9/25/2000
Inactive	Settlers Life Insurance Company	300189	Agent - Life	8/16/1993	12/13/2001
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	6/29/1993	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	6/29/1993	5/2/2003
Inactive	Time Insurance Company	300683	Agent - Health	2/26/2001	4/11/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/26/2001	4/11/2005
Inactive	United American Insurance Company	300910	Agent - Health	6/24/1993	12/11/2009
Inactive	United American Insurance Company	300910	Agent - Life	6/24/1993	12/11/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	7/25/2000	2/18/2011
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	7/12/2000	2/18/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grimsley, Earl	346778	Agent - Health	6/4/1993	12/31/2011
Inactive	Grimsley, Earl	346778	Agent - Life	6/4/1993	12/31/2011
Inactive	Henson, Forrest	319142	Agent - Health	1/12/2005	5/10/2006
Inactive	Henson, Forrest	319142	Agent - Life	1/12/2005	5/10/2006