DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimson, Dave M	DOIID	788975	NAIC NPN	16462060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/20/2012	5/31/2016
Inactive	Non Resident	Agent	Life	8/20/2012	5/31/2016
Inactive	Non Resident	Agent	Travel	8/20/2012	5/31/2016
Inactive	Non Resident	Agent	Property	8/20/2012	5/31/2016
Inactive	Non Resident	Agent	Health	8/20/2012	5/31/2016
* 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	American Family Home Insurance Company	301817	Agent - Casualty	9/4/2012	5/31/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/4/2012	5/31/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/20/2012	5/31/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/20/2012	5/31/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/4/2012	5/31/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/4/2012	5/31/2016
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	9/10/2012	11/4/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	9/10/2012	11/4/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/10/2012	11/4/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/10/2012	11/4/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/14/2013	5/31/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/14/2013	5/31/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/14/2013	5/31/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/14/2013	5/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc Insurance Agency,Inc.	691585	Agent - Casualty	9/4/2012	11/10/2014
Denied	Banc Insurance Agency,Inc.	691585	Agent - Health
Inactive	Banc Insurance Agency,Inc.	691585	Agent - Property	9/4/2012	11/10/2014
Denied	Banc Insurance Agency,Inc.	691585	Agent - Life
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Casualty	5/1/2013	11/10/2014
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Property	5/1/2013	11/10/2014
Inactive	Overstock Com Ins Agency	831000	Agent - Casualty	2/23/2014	11/10/2014
Denied	Overstock Com Ins Agency	831000	Agent - Health
Inactive	Overstock Com Ins Agency	831000	Agent - Property	2/23/2014	11/10/2014
Denied	Overstock Com Ins Agency	831000	Agent - Life