DEPARTMENT OF INSURANCE

Affiliations

Name	Grayson, Carl	DOIID	793392	NAIC NPN	16631269

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/1/2013	3/31/2026
Active	Non Resident	Agent	Life	10/3/2012	3/31/2026
Active	Non Resident	Agent	Variable Life and Variable Annuities	10/16/2013	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/11/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/3/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/11/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/11/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	5/3/2018	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/23/2019	12/22/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/13/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/13/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2020	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/9/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Columbus Life Insurance Company	301227	Agent - Life	3/10/2018	12/11/2018
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/3/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/19/2024
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/7/2022	8/10/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	11/16/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	11/16/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2022	12/12/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2025
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2022	12/12/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/8/2025
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	8/29/2019	11/21/2019
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/29/2019	11/20/2020
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	8/29/2019	6/9/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/23/2019	9/25/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/23/2019	9/25/2021
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	9/6/2017	10/31/2017
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	9/6/2017	10/31/2017
Inactive	Life Insurance Company of the Southwest	301867	Agent - Variable Life and Variable Annuities	9/6/2017	12/17/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/12/2015	2/2/2017
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/11/2025
Inactive	National Life Insurance Company	301852	Agent - Health	3/6/2017	10/31/2017
Inactive	National Life Insurance Company	301852	Agent - Life	3/6/2017	10/31/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	4/10/2013	6/1/2015
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/10/2013	6/1/2015
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	10/18/2013	6/1/2015
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	2/7/2019	11/14/2024
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	2/7/2019	11/14/2024
Inactive	Reserve National Insurance Company	301073	Agent - Health	8/25/2017	11/8/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/25/2017	11/8/2017
Active	Senior Life Insurance Company	558267	Agent - Life	6/9/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/9/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/9/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/9/2018
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	11/21/2017	12/11/2018
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	11/21/2017	12/11/2018
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	11/21/2017	12/11/2018
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	11/21/2017	12/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	5/26/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	5/26/2020
Inactive	NYLIFE Securities, LLC	645470	Agent - Life	10/22/2013	6/1/2015
Inactive	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	10/22/2013	6/1/2015