DEPARTMENT OF INSURANCE

Affiliations

Name	Grider, Jerry Dean	DOIID	1022272	NAIC NPN	3953682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/13/2018	2/28/2026
Active	Non Resident	Agent	Health	12/13/2018	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/7/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/7/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/7/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/26/2022
Active	American General Life Insurance Company	301585	Agent - Life	10/26/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/3/2023	12/16/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/22/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/9/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/22/2018	5/21/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/22/2018	5/21/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/31/2023	7/11/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/9/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/25/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/31/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/7/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/21/2019	10/21/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/9/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/9/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/9/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/10/2021	12/29/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	5/15/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/10/2021	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/27/2018	5/21/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/27/2018	5/21/2021
Active	My Usa Health	1058210	Agent - Health	9/27/2019
Active	My Usa Health	1058210	Agent - Life	9/27/2019