DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grant, Walter Rudolpho	DOIID	797336	NAIC NPN	7894696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/14/2020		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	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/21/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/12/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/19/2012	11/30/2014
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/19/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	9/30/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/14/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/30/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/20/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	9/30/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/20/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/21/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/31/2013	12/16/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/31/2013	12/16/2013

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 - Health	11/19/2012	11/30/2014
Active	Humana MarketPOINT Inc.	398092	Agent - Health	3/30/2021