DEPARTMENT OF INSURANCE
Affiliations
NameGrimes, Jack DOIID726369NAIC NPN2826550
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities4/22/2016 11/30/2024
ActiveNon ResidentAgentLife4/22/2016 11/30/2024
ActiveNon ResidentAgentHealth4/22/2016 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life3/30/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/30/2021 
ActiveMinnesota Life Insurance Company300488Agent - Health11/1/2016 
ActiveMinnesota Life Insurance Company300488Agent - Life11/1/2016 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities11/1/2016 
InactiveNationwide Life Insurance Company300495Agent - Health4/16/20108/26/2012
InactiveNationwide Life Insurance Company300495Agent - Life4/16/20108/26/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health4/5/20128/26/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/16/20108/26/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedW & R Insurance Agency398729Agent - Health  
DeniedW & R Insurance Agency398729Agent - Life  
DeniedW & R Insurance Agency398729Agent - Variable Life and Variable Annuities  

© Commonwealth of Kentucky. All rights reserved.