DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grigsby, Cassie Dawn	DOIID	714040	NAIC NPN	14955881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/8/2010		11/30/2026
Active	Resident	Agent	Life	2/8/2010		11/30/2026
Active	Resident	Agent	Casualty	9/29/2015		11/30/2026
Active	Resident	Agent	Property	9/29/2015		11/30/2026
* 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
Active	All Savers Insurance Company	301940	Agent - Health	2/19/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/19/2024
Active	American United Life Insurance Company	300498	Agent - Health	4/28/2022
Active	American United Life Insurance Company	300498	Agent - Life	4/28/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	2/23/2010
Active	Anthem Life Insurance Company	301209	Agent - Life	2/23/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/11/2016	2/21/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/11/2016	2/21/2019
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	7/5/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/18/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/18/2016
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/9/2017	12/16/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/9/2017	12/16/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/19/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/19/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Kentucky Retail Federation Insurance Agency	400706	Agent - Health	2/24/2010
Active	Kentucky Retail Federation Insurance Agency	400706	Agent - Life	2/24/2010
Active	Kentucky Retail Federation Insurance Agency	400706	Agent - Property	10/9/2017
Active	Kentucky Retail Federation Insurance Agency	400706	Agent - Casualty	10/9/2017