DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grissom, Elizabeth Ann	DOIID	669314	NAIC NPN	8917210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/4/2007	10/31/2011
Inactive	Non Resident	Agent	Life	12/4/2007	10/31/2011
* 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	American General Life Insurance Company	301585	Agent - Health	12/22/2007	10/13/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	12/22/2007	10/13/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/21/2007	6/7/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/31/2008	4/19/2011
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	3/24/2008	4/8/2011
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	3/24/2008	4/8/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	1/2/2008	4/14/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/2/2008	4/14/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/28/2007	4/26/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/28/2007	4/26/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/28/2007	4/7/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/28/2007	4/7/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Health	2/1/2008	11/23/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/1/2008	11/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	10/17/2008	4/22/2011
Inactive	SelectQuote Insurance Services	533194	Agent - Health	10/17/2008	4/22/2011