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.

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