DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grillo, Jennifer L	DOIID	813376	NAIC NPN	16991803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/27/2013	10/21/2014
Inactive	Non Resident	Agent	Life	6/27/2013	10/21/2014
* 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	Metropolitan Life Insurance Company	301948	Agent - Health	7/22/2013	10/21/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/22/2013	10/21/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/23/2013	10/21/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/23/2013	10/21/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/23/2013	10/21/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/23/2013	10/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	7/22/2013	10/21/2014
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	7/22/2013	10/21/2014