DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens, Gregory Alan	DOIID	680758	NAIC NPN	1151789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/15/2008		5/31/2026
Active	Non Resident	Agent	Health	5/15/2008		5/31/2026
Active	Non Resident	Agent	Life	5/15/2008		5/31/2026
Active	Non Resident	Agent	Property	5/15/2008		5/31/2026
* 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	03/15/2024	05/31/2024	03/05/2024	03/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	3/23/2010	9/18/2012
Inactive	Central Mutual Insurance Company	300965	Agent - Property	3/23/2010	9/18/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/5/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/5/2016	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Life	1/5/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/5/2016	5/2/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/5/2016	5/2/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	5/2/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/16/2008	9/17/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/16/2008	9/17/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	PNC Insurance Agency, Inc.	595561	Agent - Life
Denied	PNC Insurance Agency, Inc.	595561	Agent - Health
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Property	6/16/2008	2/21/2011
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Casualty	6/16/2008	2/21/2011