DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grosskopf, Melinda	DOIID	598268	NAIC NPN	3306975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/7/2004	5/31/2007
Inactive	Non Resident	Agent	Life	12/7/2004	5/31/2007
* 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	Aetna Health Inc.	300694	Agent - Health	7/24/2006	5/31/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/24/2006	5/31/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/24/2006	5/31/2007
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/15/2005	5/31/2007
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/15/2005	5/31/2007
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/15/2005	5/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	5/6/2005	10/12/2006
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	5/6/2005	10/12/2006