DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grilliot, Jason John	DOIID	807739	NAIC NPN	16935506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	5/3/2013	6/1/2016
Inactive	Resident	Agent	Property	5/3/2013	6/1/2016
Inactive	Resident	Agent	Life	4/30/2013	6/1/2016
* 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	Auto-Owners Life Insurance Company	301368	Agent - Life	1/20/2014	4/14/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/12/2014	1/28/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	11/12/2014	1/28/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	11/12/2014	1/28/2016
Inactive	Grange Insurance Company	300234	Agent - Property	11/12/2014	1/28/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	11/12/2014	1/28/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/12/2014	1/28/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/12/2014	1/28/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/15/2013	10/23/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/15/2013	10/23/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/15/2013	10/23/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/15/2013	10/23/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	11/12/2014	1/28/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	11/12/2014	1/28/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Life	1/20/2014	7/7/2015
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Property	1/16/2014	7/7/2015
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Casualty	1/16/2014	7/7/2015