DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crocker, David Harlow	DOIID	1225483	NAIC NPN	18971393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/24/2022	6/30/2024
Inactive	Non Resident	Agent	Life	8/24/2022	6/30/2024
* 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	Accendo Insurance Company	300312	Agent - Health	11/8/2022	4/20/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	5/5/2023	6/30/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/29/2022	6/30/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/5/2023	6/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/29/2022	6/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/29/2022	6/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/5/2023	6/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/5/2023	6/30/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/3/2023	6/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/29/2022	6/30/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/30/2023	7/23/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/30/2023	7/23/2023

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	9/28/2023	2/20/2024