DEPARTMENT OF INSURANCE

Affiliations

Name	Crumrine, Charles Edward	DOIID	308185	NAIC NPN	301564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	4/3/2014
Inactive	Non Resident	Agent	Health	9/16/1981	4/3/2014
Inactive	Non Resident	Agent	Life	9/16/1981	4/3/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/1/2008	12/3/2008
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	11/6/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Health	1/28/1992	10/1/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Life	1/28/1992	10/1/2008
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/12/2006	4/3/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/16/2013	8/30/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/16/2013	8/30/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/8/1991	3/31/1997
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/14/2004	12/25/2013
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/14/2004	12/25/2013
Inactive	General American Life Insurance Company	300280	Agent - Health	11/8/2004	11/20/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	11/8/2004	11/20/2009
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	11/8/2004	11/20/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/14/2005	12/8/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/14/2005	12/8/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2013	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/16/2013	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2013	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/16/2013	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/16/2013	8/30/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/22/2008	10/3/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	1/22/2008	10/3/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/21/2004	2/1/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/21/2004	2/1/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/21/2004	2/1/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/21/2004	2/1/2005
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/22/2003	1/17/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/22/2003	7/27/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	1/2/2004	7/27/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/16/2013	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/16/2013	8/30/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/16/1981	4/3/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/16/1981	4/3/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/31/2001	4/3/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/8/2004	11/20/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/8/2004	11/20/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	11/8/2004	11/20/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/30/2003	12/13/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/30/2003	12/13/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	6/30/2006	12/13/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/7/2004	4/16/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/21/2007	12/25/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/21/2007	12/25/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	9/21/2007	12/25/2013
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/14/1995	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/14/1995	9/3/2004
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/21/2006	9/26/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2004	4/16/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2004	4/16/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Executive Ins Agency Inc	400244	Agent - Life	7/7/2005	12/13/2013
Inactive	Executive Ins Agency Inc	400244	Agent - Health	7/7/2005	12/13/2013
Inactive	Executive Ins Agency Inc	400244	Agent - Variable Life and Variable Annuities	7/7/2005	12/13/2013