DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Field, Krystal	DOIID	1102084	NAIC NPN	19597754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2020		4/30/2027
Active	Non Resident	Agent	Life	10/2/2020		4/30/2027
* 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	02/15/2025	04/30/2025	03/05/2025	03/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/20/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/20/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/20/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Life	10/26/2020
Active	Paychex Insurance Agency Inc	509469	Agent - Health	10/26/2020