DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith Grayson, Shabri	DOIID	926386	NAIC NPN	18083136

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/13/2016	1/1/2019
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/26/2017	1/1/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/24/2017	12/30/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/28/2017	12/21/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	9/26/2017	1/4/2018