DEPARTMENT OF INSURANCE

Affiliations

Name	Gregory Jr, Fred Alexander	DOIID	712767	NAIC NPN	1130010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	11/17/2009	1/31/2023
Inactive	Non Resident	Agent	Health	11/17/2009	1/31/2023
Inactive	Non Resident	Agent	Life	11/17/2009	1/31/2023
Inactive	Non Resident	Agent	Casualty	11/17/2009	1/31/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/30/2009	6/26/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/30/2009	6/26/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/30/2009	6/26/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/31/2011	4/6/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/31/2011	4/6/2015
Inactive	American National Insurance Company	301861	Agent - Health	11/17/2009	5/28/2021
Inactive	American National Insurance Company	301861	Agent - Life	11/17/2009	1/31/2023
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/28/2013	12/21/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/25/2010	7/29/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/25/2010	7/29/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/17/2009	10/20/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/17/2009	10/20/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/25/2010	7/29/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/25/2010	7/29/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/13/2013	9/18/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/13/2013	9/18/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/5/2013	12/13/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/5/2013	12/13/2014
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	3/5/2012	9/13/2013
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	3/5/2012	9/13/2013
Inactive	Pacific Specialty Insurance Company	301846	Agent - Casualty	11/30/2009	7/10/2017
Inactive	Pacific Specialty Insurance Company	301846	Agent - Property	11/30/2009	7/10/2017
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/19/2010	1/31/2023
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/13/2010	1/31/2023
Inactive	Western Surety Company	300283	Agent - Casualty	3/31/2015	6/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital City Insurance LLC	716683	Agent - Casualty	11/17/2009	3/24/2015
Inactive	Capital City Insurance LLC	716683	Agent - Health	11/17/2009	3/24/2015
Inactive	Capital City Insurance LLC	716683	Agent - Life	11/17/2009	3/24/2015
Inactive	Capital City Insurance LLC	716683	Agent - Property	11/17/2009	3/24/2015