DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Crystal Marie	DOIID	1116961	NAIC NPN	18394567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/15/2021		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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/22/2021	1/16/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/7/2022	6/12/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/22/2021	1/16/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/22/2021	1/16/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/10/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/10/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/10/2023	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/11/2021	5/24/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/10/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/10/2023	12/16/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/7/2022	6/12/2024
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	10/7/2022	12/24/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/12/2022	5/24/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/1/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/22/2021	1/16/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/25/2021	5/10/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/25/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/25/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/25/2021	5/10/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/13/2021	6/4/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/13/2021	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	eHealthInsurance Services Inc.	514105	Agent - Health	1/15/2021	4/20/2023