DEPARTMENT OF INSURANCE

Affiliations

Name	Holman, Crystal Dawn	DOIID	1052922	NAIC NPN	19265854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Resident	Agent	Health	9/5/2019	8/31/2026
Pending Replacement	Resident	Agent	Property	9/3/2019	8/31/2026
Pending Replacement	Resident	Agent	Casualty	9/3/2019	8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Casualty	10/25/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	10/25/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	10/25/2019	6/25/2020
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	6/28/2022
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	7/6/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/28/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	6/28/2022
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2023
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/6/2022
Pending Replacement	Emphesys Insurance Company	300598	Agent - Health	12/9/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2022	12/12/2024
Pending Replacement	Humana Insurance Company	301104	Agent - Health	7/5/2022
Pending Replacement	Medico Insurance Company	301559	Agent - Health	12/5/2025
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	6/28/2022
Pending Replacement	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	9/2/2022	7/24/2023
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/14/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/9/2020	12/8/2020
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/14/2022
Pending Replacement	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2022
Pending Replacement	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Inc.	1074645	Agent - Casualty	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Health	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Property	3/13/2020	6/25/2020