DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bristol, Grant	DOIID	1445816	NAIC NPN	21731451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/3/2026		3/31/2027
Active	Non Resident	Agent	Property	2/3/2026		3/31/2027
Active	Non Resident	Agent	Casualty	2/3/2026		3/31/2027
Active	Non Resident	Agent	Health	2/3/2026		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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	4/28/2026
Active	American Economy Insurance Company	300315	Agent - Property	4/28/2026
Active	American Strategic Insurance Corp	883540	Agent - Casualty	6/19/2026
Active	American Strategic Insurance Corp	883540	Agent - Property	6/19/2026
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	8/20/2026
Active	Root Insurance Company	964834	Agent - Casualty	9/8/2026
Active	Root Insurance Company	964834	Agent - Property	9/8/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Casualty	8/14/2026
Active	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Life	8/20/2026
Pending	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Health
Active	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Property	8/14/2026