DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Stephen Randolph	DOIID	877307	NAIC NPN	17284282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/7/2015	10/31/2025
Active	Non Resident	Agent	Life	5/7/2015	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/5/2023	8/13/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/5/2023	8/13/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/5/2023	8/13/2024
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/26/2022
Active	American General Life Insurance Company	301585	Agent - Health	1/22/2021
Active	American General Life Insurance Company	301585	Agent - Life	1/22/2021
Inactive	American National Insurance Company	301861	Agent - Health	3/6/2018	10/22/2020
Active	American National Insurance Company	301861	Agent - Life	10/20/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/28/2022	7/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/15/2023	7/30/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	5/12/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/11/2016	7/27/2017
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/14/2018	6/25/2018
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	7/28/2022	4/6/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Insurance Company	301104	Agent - Life	3/11/2016	7/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/11/2016	7/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/11/2016	7/27/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/4/2015	12/8/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/27/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/4/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/4/2015	10/22/2015
Inactive	Senior Life Insurance Company	558267	Agent - Life	9/20/2018	6/13/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/5/2023	8/13/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2023	7/30/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2023	7/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hegemon Financial Group LLC	768398	Agent - Life	3/11/2016
Active	Hegemon Financial Group LLC	768398	Agent - Health	3/11/2016