DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Griscom, William Carden	DOIID	567664	NAIC NPN	757045

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/9/2003	7/31/2019
Inactive	Non Resident	Agent	Health	4/9/2003	7/31/2019
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/15/2009	8/30/2019
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/15/2009	8/30/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/17/2007	12/15/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/17/2007	12/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/26/2007	7/31/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/26/2007	7/31/2019