DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hiner, Grant Raymond	DOIID	665793	NAIC NPN	3421014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/9/2007	7/31/2019
Inactive	Non Resident	Agent	Life	10/9/2007	7/31/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commercial Travelers Life Insurance Company	300512	Agent - Health	10/5/2011	7/31/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/12/2011	8/28/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/12/2011	8/28/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/1/2013	8/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	5/3/2013	8/7/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	5/3/2013	8/7/2017