DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stultz, Greg Graham	DOIID	930981	NAIC NPN	18097468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/27/2016	3/31/2023
Inactive	Non Resident	Agent	Casualty	8/22/2017	3/31/2023
Inactive	Non Resident	Agent	Life	12/1/2016	3/31/2023
Inactive	Non Resident	Agent	Property	8/22/2017	3/31/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/16/2021	8/11/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/6/2017	1/18/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/6/2017	1/18/2023
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	9/11/2017	3/31/2023
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Health	12/2/2016	3/31/2023
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	9/11/2017	3/31/2023
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	7/8/2020	3/31/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	10/28/2020	3/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ICM Insurance Service LLC	937342	Agent - Health	11/17/2016	12/1/2021
Inactive	ICM Insurance Service LLC	937342	Agent - Life	12/1/2016	10/15/2021
Inactive	ICM Insurance Service LLC	937342	Agent - Property	8/24/2017	12/1/2021
Inactive	ICM Insurance Service LLC	937342	Agent - Casualty	8/24/2017	12/1/2021
Inactive	ICM Insurance Service LLC	937342	Surplus Lines Broker - Not Applicable	4/16/2021	8/11/2021