DEPARTMENT OF INSURANCE

Affiliations

Name	Constance, Crystal Annette	DOIID	1242246	NAIC NPN	20366559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/14/2022	1/31/2026
Active	Non Resident	Agent	Health	11/14/2022	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/19/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/17/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/1/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/17/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/17/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/14/2022	9/4/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/14/2022	9/4/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/14/2022	9/4/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/29/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/15/2022	9/3/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/3/2023	9/13/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/3/2023	9/13/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/14/2022	9/4/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/1/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/24/2023	10/5/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/24/2023	10/5/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/3/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/3/2022
Inactive	Humana Insurance Company	301104	Agent - Health	2/12/2024	5/8/2025
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Health	2/1/2023	9/3/2024
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Life	2/1/2023	9/3/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/17/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/15/2022	9/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/15/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/15/2022	9/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services LLC	625753	Agent - Life	12/3/2022	9/5/2024
Inactive	Extend Insurance Services LLC	625753	Agent - Health	12/1/2022	9/5/2024