DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grant, Kishma	DOIID	975579	NAIC NPN	17906999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/4/2017		3/31/2025
Active	Non Resident	Agent	Life	11/4/2017		3/31/2025
* 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	CMFG Life Insurance Company	300929	Agent - Health	7/10/2019	7/12/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	7/10/2019	7/12/2022
Active	Combined Insurance Company of America	301472	Agent - Health	6/17/2024
Active	Combined Insurance Company of America	301472	Agent - Life	6/17/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/11/2019	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/11/2019	12/29/2020
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	9/22/2021	7/12/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/8/2017	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/8/2017	7/17/2020
Active	ReliaStar Life Insurance Company	301712	Agent - Health	2/10/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Life	2/10/2022
Active	Trustmark Insurance Company	300317	Agent - Health	3/24/2024
Active	Trustmark Insurance Company	300317	Agent - Life	3/24/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/8/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/8/2017	7/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	11/4/2019	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	11/4/2019	1/7/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/6/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/6/2020