DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mouton, Gregorie John	DOIID	341503	NAIC NPN	247462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/7/2023	11/6/2023
Inactive	Non Resident	Agent	Health	8/4/2021	11/6/2023
Inactive	Non Resident	Agent	Property	7/7/2023	1/21/2025
Inactive	Non Resident	Agent	Life	8/4/2021	11/6/2023
Active	Non Resident	Staff Adjuster	Property & Casualty	1/9/2025		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
Staff Adjuster	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/16/2021	11/6/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/16/2021	11/6/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/16/2021	11/6/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/19/2022	10/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/19/2022	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/19/2022	10/25/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/19/2022	1/10/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	7/27/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/19/2022	10/25/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2022	1/10/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	7/18/2023	11/6/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	7/18/2023	12/23/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/16/2021	11/6/2023
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	2/3/1995	1/2/1996
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	2/3/1995	1/2/1996
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/17/2022	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/17/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/17/2022	7/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/26/2022	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	11/6/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/18/2023	11/6/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/18/2023	12/23/2024