DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimaldo, Adam Lester	DOIID	784258	NAIC NPN	16679899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/18/2012	11/27/2012
Inactive	Non Resident	Agent	Health	6/18/2012	11/27/2012
* 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	7/11/2012	10/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/11/2012	10/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/11/2012	10/18/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/6/2012	10/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/6/2012	10/15/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	11/27/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/29/2012	11/27/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	7/5/2012	11/27/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/29/2012	11/27/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/29/2012	11/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/6/2012	10/16/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/6/2012	10/16/2012