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.

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