DEPARTMENT OF INSURANCE

Affiliations

Name	Grabiak, Jeff V.	DOIID	539026	NAIC NPN	1202175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/5/2001	8/31/2026
Active	Non Resident	Agent	Health	10/5/2001	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/04/2024	06/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/14/2002	2/24/2006
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/12/2020
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/12/2020
Inactive	American Medical and Life Insurance Company	301598	Agent - Health	6/14/2006	1/4/2012
Inactive	American Public Life Insurance Company	300252	Agent - Health	5/20/2005	2/19/2008
Inactive	American Public Life Insurance Company	300252	Agent - Life	5/20/2005	2/19/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/9/2006	9/14/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/9/2006	9/14/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/1/2007	1/27/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/1/2007	1/27/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/12/2012	4/20/2018
Active	Continental American Insurance Company	301700	Agent - Health	3/31/2019
Active	Continental American Insurance Company	301700	Agent - Life	3/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/12/2012	4/20/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/19/2006	12/21/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/19/2006	12/21/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/12/2012	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/12/2012	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/12/2012	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/12/2012	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/12/2012	4/20/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/11/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/11/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	1/22/2018
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	7/5/2005	12/15/2008
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	7/5/2005	12/15/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/13/2007	6/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/13/2007	6/23/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/27/2002	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/27/2002	12/30/2009
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	1/26/2005	12/28/2006
Inactive	Transamerica Assurance Company	300893	Agent - Health	1/7/2002	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	1/7/2002	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/19/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/19/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/7/2002	4/4/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/7/2002	4/4/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeland@Work, LLC	814962	Agent - Health	8/6/2013	1/9/2017
Inactive	Homeland@Work, LLC	814962	Agent - Life	8/6/2013	1/9/2017