DEPARTMENT OF INSURANCE

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	Life	2/8/2010		11/30/2024
Active	Resident	Agent	Casualty	9/29/2015		11/30/2024
Active	Resident	Agent	Health	2/8/2010		11/30/2024
Active	Resident	Agent	Property	9/29/2015		11/30/2024
* 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	09/15/2024	11/30/2024

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