DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pendergraft, Ross William	DOIID	891628	NAIC NPN	2656546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/16/2015		8/31/2026
Active	Non Resident	Agent	Life	9/16/2015		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/7/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/7/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/16/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	10/7/2015
Active	United of Omaha Life Insurance Company	300156	Agent - Life	10/7/2015

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	3/10/2020	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/10/2020	2/11/2025
Active	Gallagher Benefit Services Inc	525782	Agent - Life	6/20/2023
Active	Gallagher Benefit Services Inc	525782	Agent - Health	6/20/2023
Denied	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Life
Denied	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Health