DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crockett, Taneshia D	DOIID	1089516	NAIC NPN	18135375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/18/2023		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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/19/2021	10/31/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/19/2020	10/31/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/19/2020	10/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/5/2021	7/8/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/19/2020	10/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/20/2021	12/22/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	1/20/2021	12/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/20/2021	12/22/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2020	12/29/2021

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 - Health	7/22/2020	9/5/2020