DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pudas, Grant Alan	DOIID	944943	NAIC NPN	6966534

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/15/2017		12/31/2024
Active	Non Resident	Agent	Life	12/22/2017		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/15/2017
Inactive	Aspen American Insurance Company	301513	Agent - Health	2/27/2020	12/14/2020
Inactive	Federal Insurance Company	301144	Agent - Health	7/29/2018	12/29/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	2/21/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	7/3/2017	12/18/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	9/18/2019	12/20/2021
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	3/30/2017
Inactive	Unified Life Insurance Company	543169	Agent - Health	4/12/2017	12/12/2017
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/5/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	7/17/2017
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/14/2019	4/21/2022