DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Perry James	DOIID	667500	NAIC NPN	9002047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/4/2007	1/31/2018
Inactive	Non Resident	Agent	Health	11/4/2007	1/31/2018
* 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	Life Insurance Company of North America	300711	Agent - Health	3/26/2009	1/31/2018
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/26/2009	1/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Segal Company (Southeast), Inc (The)	637952	Agent - Health	3/26/2009	1/31/2018
Inactive	Segal Company (Southeast), Inc (The)	637952	Agent - Life	3/26/2009	1/31/2018