DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crossroads Insurance Solutions LLC	DOIID	1346196	NAIC NPN	21167851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	6/19/2024		3/31/2026
Pending Replacement	Non Resident	Agent	Life	6/19/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	11/13/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/13/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	11/13/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	11/13/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ward, Lisa Carol	614444	Agent - Health	6/19/2024	11/30/2025
Inactive	Ward, Lisa Carol	614444	Agent - Life	6/19/2024	11/30/2025