DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gridley, D G	DOIID	745594	NAIC NPN	16125192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/5/2011	4/1/2016
Inactive	Resident	Agent	Health	1/27/2011	4/1/2016
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/10/2011	2/19/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/10/2011	2/19/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/26/2013	5/21/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/26/2013	5/21/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2013	5/21/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/26/2013	5/21/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/26/2013	5/21/2014
Inactive	Humana Insurance Company	301104	Agent - Life	11/26/2013	5/21/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/26/2013	5/21/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/26/2013	5/21/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/26/2013	5/21/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/26/2013	5/21/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/10/2012	2/4/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	7/30/2012	2/4/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/5/2013	6/20/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	6/20/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	5/21/2014
Inactive	Medlink Inc	400721	Agent - Life	9/11/2013	6/20/2014
Inactive	Medlink Inc	400721	Agent - Health	9/11/2013	5/21/2014