DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coutch, Chrystal	DOIID	1215375	NAIC NPN	18736772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/8/2022	11/27/2023
Inactive	Non Resident	Agent	Health	7/8/2022	11/27/2023
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/8/2022	11/27/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/8/2022	11/27/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/8/2022	11/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HUB International Midwest Limited	398717	Agent - Life	4/28/2023	6/27/2023
Inactive	HUB International Midwest Limited	398717	Agent - Health	4/28/2023	6/27/2023
Inactive	Peel & Holland Inc	398400	Agent - Life	7/8/2022	11/27/2023
Inactive	Peel & Holland Inc	398400	Agent - Health	7/8/2022	6/20/2023