DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Grant Thomas	DOIID	684103	NAIC NPN	11066712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/26/2008	10/1/2010
Inactive	Resident	Agent	Health	8/26/2008	10/1/2010
Inactive	Resident	Agent	Casualty	7/9/2008	10/1/2010
Inactive	Resident	Agent	Property	7/9/2008	10/1/2010
* 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	Allstate Indemnity Company	300778	Agent - Casualty	9/28/2009	6/22/2010
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/28/2009	6/22/2010
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/28/2009	6/22/2010
Inactive	Allstate Insurance Company	300773	Agent - Property	9/28/2009	6/22/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/28/2009	6/22/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/28/2009	6/22/2010
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/11/2008	10/1/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/11/2008	10/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/22/2008	10/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/22/2008	10/1/2010
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	7/24/2008	5/26/2009
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	7/24/2008	5/26/2009
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	7/24/2008	5/26/2009
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	7/24/2008	5/26/2009
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	7/24/2008	5/26/2009
Inactive	Cincinnati Insurance Company	301298	Agent - Property	7/24/2008	5/26/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	10/1/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/19/2010	10/1/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/19/2010	10/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/11/2008	10/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	10/1/2010
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/1/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/1/2010
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/1/2010
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/1/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2008	10/1/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2008	10/1/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/23/2008	10/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/23/2008	10/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/23/2008	10/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/19/2010	10/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/19/2010	10/1/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	8/11/2008	10/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/23/2008	10/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/23/2008	10/1/2010
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	9/22/2008	10/1/2010
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	9/22/2008	10/1/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/11/2008	10/1/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/11/2008	10/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/11/2008	10/1/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/11/2008	10/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/11/2008	10/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	8/11/2008	10/1/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/23/2008	3/2/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/23/2008	3/2/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	10/1/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	10/1/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	10/1/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	10/1/2010
Inactive	West American Insurance Company	301112	Agent - Casualty	8/11/2008	10/1/2010
Inactive	West American Insurance Company	301112	Agent - Property	8/11/2008	10/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Higgins Insurance Inc.	399505	Agent - Property	7/23/2008	5/19/2009
Inactive	Higgins Insurance Inc.	399505	Agent - Casualty	7/23/2008	5/19/2009
Inactive	Higgins Insurance Inc.	399505	Agent - Life	9/22/2008	5/19/2009
Inactive	Higgins Insurance Inc.	399505	Agent - Health	9/22/2008	5/19/2009