DEPARTMENT OF INSURANCE

Affiliations

Name	Grizzard, Evan E	DOIID	860375	NAIC NPN	17071581

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/25/2024		9/30/2025
Inactive	Non Resident	Agent	Health	11/11/2014	9/30/2019
Inactive	Non Resident	Agent	Life	11/11/2014	9/30/2019
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/29/2016	6/12/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/14/2017	9/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/22/2015	9/30/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/2/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/12/2017	6/8/2018
Inactive	Federal Insurance Company	301144	Agent - Health	5/18/2017	10/15/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/5/2016	10/3/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/5/2016	10/3/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/3/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/8/2016	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/8/2016	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/8/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/8/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/8/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/8/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/8/2016	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/8/2016	4/8/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/28/2017	4/6/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	4/2/2024
Active	Progressive Direct Insurance Company	301379	Agent - Personal Lines	4/2/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	3/7/2017	12/28/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/5/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/5/2016	11/4/2016

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	1/22/2015	9/30/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/22/2015	9/30/2019