DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, James M	DOIID	736875	NAIC NPN	15945287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	1/14/2013	10/31/2026
Active	Resident	Agent	Health	1/14/2013	10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/17/2013	12/7/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/17/2013	12/7/2016
Inactive	American General Life Insurance Company	301585	Agent - Health	8/26/2015	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	8/26/2015	12/23/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/20/2014	8/15/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/20/2014	8/15/2018
Inactive	American United Life Insurance Company	300498	Agent - Health	11/14/2017	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	11/14/2017	9/29/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/24/2014
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/24/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/27/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/27/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/27/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/2/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/2/2014	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/27/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/27/2014	12/5/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/10/2015	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/10/2015	12/29/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/27/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/27/2014	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	3/24/2014	10/29/2015
Active	National Health Insurance Company	300554	Agent - Health	2/16/2023
Active	National Health Insurance Company	300554	Agent - Life	2/16/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/14/2015	12/10/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/14/2015	12/10/2018
Active	Nationwide Life and Benefits Insurance Company	301045	Agent - Health	9/2/2025
Active	Nationwide Life and Benefits Insurance Company	301045	Agent - Life	9/2/2025
Active	Principal National Life Insurance Company	301926	Agent - Life	2/15/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	11/1/2022	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	3/25/2014	3/31/2024