DEPARTMENT OF INSURANCE

Name	Gross, David A	DOIID	370035	NAIC NPN	1158779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/6/1984		9/30/2024
Active	Resident	Agent	Health	1/6/1984		9/30/2024
Active	Resident	Agent	Casualty	8/15/2000		9/30/2024
Active	Resident	Agent	Property	8/15/2000		9/30/2024
Inactive	Resident	Agent	Health Maintenance Organization	1/4/1990	3/1/2001
Inactive	Resident	Agent	General Lines	10/26/1981	8/15/2000
Active	Resident	Life & Health Consultant	Not Applicable	6/24/1998		9/30/2024
Active	Resident	Surplus Lines Broker	Not Applicable	12/8/1996		9/30/2024

*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
Agent	07/15/2024	09/30/2024
Life & Health Consultant	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Gross Insurance Agency LLC P.O. Box 75249 26 N. Fort Thomas Ave.Fort Thomas, KY 41075
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 781-0434