DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gruverman, Howard Scott	DOIID	624170	NAIC NPN	444653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/18/2019	10/31/2021
Inactive	Non Resident	Agent	Life	4/18/2019	10/31/2021
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	4/11/2008	4/22/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/11/2008	4/22/2016

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	5/1/2012	4/12/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	5/1/2012	4/12/2016