DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shockey, Crystal	DOIID	1159907	NAIC NPN	20039054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/6/2024		7/31/2026
Active	Non Resident	Agent	Health	5/6/2024		7/31/2026
* 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	05/15/2024	07/31/2024	07/22/2024	07/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/22/2021	8/24/2023
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	1/4/2022	8/24/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/28/2021	8/24/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/19/2021	8/24/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/10/2021	8/24/2023
Denied	Humana Medical Plan, Inc.	801568	Agent - Health
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/1/2023	8/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Trubridge Inc	717747	Agent - Health
Pending	Trubridge Inc	717747	Agent - Life