DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Eldreth, Crystal	DOIID	1239828	NAIC NPN	20414848

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/31/2022		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	11/7/2022
Pending Replacement	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/23/2024
Pending Replacement	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/28/2022
Pending Replacement	Humana Insurance Company	301104	Agent - Health	11/21/2022
Pending Replacement	Humana Medical Plan, Inc.	801568	Agent - Health	2/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Trubridge Inc	717747	Agent - Health	1/11/2024