DEPARTMENT OF INSURANCE

Affiliations

Name	Grant, Michael S	DOIID	622204	NAIC NPN	3290549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/16/2005	6/30/2026
Active	Non Resident	Agent	Health	12/16/2005	6/30/2026
* 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	04/15/2024	06/30/2024	05/08/2024	05/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	1/9/2006	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007
Active	Aetna Life Insurance Company	301140	Agent - Health	1/9/2006
Active	Aetna Life Insurance Company	301140	Agent - Life	1/9/2006
Inactive	All Savers Insurance Company	301940	Agent - Health	3/26/2014	6/17/2022
Inactive	All Savers Insurance Company	301940	Agent - Life	3/26/2014	6/17/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/15/2010	4/6/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/15/2010	4/6/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/23/2016	12/30/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/23/2016	12/30/2020
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	3/1/2017
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	3/1/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/31/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/31/2015	12/8/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/23/2016	12/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/23/2016	12/30/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/22/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/22/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Insurance Company	301104	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/13/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/10/2020	4/7/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/10/2020	4/7/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/10/2020	4/7/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/31/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/31/2015	10/22/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	8/1/2016
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	8/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	6/17/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	6/17/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/27/2014	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/27/2014	11/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	12/6/2018
Active	Alliant Insurance Services, Inc.	551378	Agent - Life	12/6/2018
Inactive	Crystal Ibc LLC	864482	Agent - Health	12/23/2015	7/17/2020
Inactive	Crystal Ibc LLC	864482	Agent - Life	12/23/2015	7/17/2020
Active	Dental Choice Agency Inc.	398085	Agent - Health	4/19/2016
Active	Rsc Insurance Brokerage,Inc.	638300	Agent - Health	7/22/2020
Active	Rsc Insurance Brokerage,Inc.	638300	Agent - Life	7/22/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Health	4/16/2010	4/1/2011
Inactive	Usi Insurance Services LLC	669260	Agent - Life	4/16/2010	4/1/2011