DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Undys Grace LLC	DOIID	977172	NAIC NPN	18609696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/20/2017		3/31/2027
Active	Resident	Agent	Health	11/20/2017		3/31/2027
* 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	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	5 Star Life Insurance Company	300673	Agent - Health	12/21/2017
Active	5 Star Life Insurance Company	300673	Agent - Life	12/21/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Underwood, Robert Greene	391697	Agent - Health	11/20/2017
Active	Underwood, Robert Greene	391697	Agent - Life	11/20/2017