DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grand Pierre, Clio	DOIID	1185275	NAIC NPN	12938176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/28/2022		10/31/2025
Active	Non Resident	Agent	Health	4/22/2022		10/31/2025
* 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	08/15/2025	10/31/2025

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	4/29/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/29/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/29/2022
Active	American General Life Insurance Company	301585	Agent - Health	6/11/2024
Active	American General Life Insurance Company	301585	Agent - Life	6/11/2024
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/19/2025
Active	CMFG Life Insurance Company	300929	Agent - Life	3/6/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	8/7/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/31/2022	6/5/2024
Active	MEMBERS Life Insurance Company	301289	Agent - Life	3/6/2025
Active	Pruco Life Insurance Company	300954	Agent - Life	3/21/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/29/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/24/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/7/2024	5/16/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/3/2022	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/28/2022	5/15/2024