DEPARTMENT OF INSURANCE

Affiliations

Name	Crawford, James Conrad	DOIID	313727	NAIC NPN	708123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	12/14/2012		10/31/2024
Active	Resident	Agent	Health	12/14/2012		10/31/2024
Active	Resident	Agent	Life	12/14/2012		10/31/2024
Active	Resident	Agent	Casualty	12/14/2012		10/31/2024
Inactive	Resident	Agent	General Lines	4/1/1987	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	9/20/1995	3/1/2001
Inactive	Resident	Agent	Variable Life and Variable Annuities	1/6/2005	11/1/2012
Denied	Resident	Life & Health Consultant	Not Applicable
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/22/2019	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/22/2019	12/19/2023
Inactive	AF&L Insurance Company	301582	Agent - Health	2/24/2004	7/1/2004
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	7/1/2004
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	4/5/1999	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/1/2013	10/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/1/2013	10/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/1/2013	10/26/2016
Active	All America Insurance Company	300078	Agent - Casualty	1/22/2015
Active	All America Insurance Company	300078	Agent - Property	1/22/2015
Active	All Savers Insurance Company	301940	Agent - Health	1/12/2021
Active	All Savers Insurance Company	301940	Agent - Life	1/12/2021
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	10/20/2003	7/1/2004
Inactive	Allstate Indemnity Company	300778	Agent - Property	10/20/2003	7/1/2004
Inactive	Allstate Insurance Company	300773	Agent - Casualty	10/20/2003	7/1/2004
Inactive	Allstate Insurance Company	300773	Agent - Property	10/20/2003	7/1/2004
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	5/13/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	5/13/2008
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/5/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/5/2024
Inactive	American Fidelity Assurance Company	301004	Agent - Health	6/6/2005	11/1/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	6/6/2005	11/1/2006
Inactive	American Select Insurance Company	301229	Agent - Casualty	8/15/2000	7/1/2004
Inactive	American Select Insurance Company	301229	Agent - General Lines	3/3/1999	8/15/2000
Inactive	American Select Insurance Company	301229	Agent - Property	8/15/2000	7/1/2004
Inactive	American United Life Insurance Company	300498	Agent - Health	6/5/1997	7/1/2004
Inactive	American United Life Insurance Company	300498	Agent - Life	6/5/1997	7/1/2004
Active	Ansur America Insurance Company	520667	Agent - Casualty	8/10/2020
Active	Ansur America Insurance Company	520667	Agent - Property	8/10/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	4/1/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	4/1/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/14/2014	12/27/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/14/2014	12/27/2016
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/10/1985	3/28/1997
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/10/1985	3/28/1997
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/14/2020
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/14/2020
Active	Banner Life Insurance Company	301696	Agent - Life	3/7/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/18/2006	11/10/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/18/2006	11/10/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	8/6/1996	3/31/1997
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	11/21/2002	7/1/2004
Active	Central Mutual Insurance Company	300965	Agent - Casualty	1/22/2015
Active	Central Mutual Insurance Company	300965	Agent - Property	1/22/2015
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/14/2020
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/14/2020
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/15/2006	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/15/2006	4/1/2007
Inactive	Chase Life and Annuity Company	300145	Agent - Health	10/12/1993	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	10/12/1993	12/11/1996
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/22/2013
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	2/22/2013
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/22/2013
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/22/2013
Active	Cincinnati Insurance Company	301298	Agent - Casualty	2/22/2013
Active	Cincinnati Insurance Company	301298	Agent - Property	2/22/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/22/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/22/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/9/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/9/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/18/2019	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/29/2006	11/1/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/21/2002	7/1/2004
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/21/2002	7/1/2004
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/16/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	7/1/2004
Inactive	Continental American Insurance Company	301700	Agent - Health	8/26/2014	8/11/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	8/26/2014	8/11/2023
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	8/3/1988	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/27/2001
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Dental Care Plus Inc.	301495	Agent - Health	12/24/2013
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/9/2013
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/23/2017	1/1/2024
Inactive	Everlake Life Insurance Company	300873	Agent - Health	10/20/2003	7/1/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	10/20/2003	7/1/2004
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	12/27/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	12/27/2023
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/14/2005	1/1/2007
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	8/10/2020
Active	Frankenmuth Insurance Company	301481	Agent - Property	8/10/2020
Inactive	General American Life Insurance Company	300280	Agent - Health	2/14/1996	3/22/1999
Inactive	General American Life Insurance Company	300280	Agent - Life	2/14/1996	3/22/1999
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/29/2014	12/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/12/2013	12/13/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/12/2013	12/13/2014
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/21/1996	12/8/1997
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/21/1996	12/8/1997
Active	Great Western Insurance Company	501693	Agent - Life	12/18/2023
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	11/5/1992	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	11/5/1992	9/8/2000
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/14/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/14/2013
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/27/2022
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	12/27/2022
Active	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/2/2021
Active	Hartford Casualty Insurance Company	301332	Agent - Property	12/2/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/14/2017	12/6/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/14/2017	12/6/2018
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/23/2005	12/17/2010
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/23/2005	12/17/2010
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	11/3/2006	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	11/3/2006	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/28/2013	2/26/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/28/2013	2/26/2024
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/23/2005	11/1/2012
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/23/2005	11/1/2012
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/19/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/6/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	9/20/1995	3/1/2001
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/17/1996	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	8/9/2013
Active	Humana Insurance Company	301104	Agent - Life	8/9/2013
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	12/30/2020
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/22/2019	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/22/2019	12/15/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/22/2005	11/1/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/22/2005	11/1/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/18/2002	12/11/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/18/2002	12/11/2003
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Indiana Insurance Company	301909	Agent - General Lines	3/16/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	7/1/2004
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	3/26/1992	12/28/1998
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/26/1992	12/28/1998
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/31/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/31/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	5/31/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/31/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/31/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	5/31/2006	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/17/2011	11/1/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/17/2011	11/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	8/9/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/14/1993	6/16/1997
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/14/1993	6/16/1997
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/25/2003	7/1/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/25/2003	7/1/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	11/25/2003	7/1/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	11/9/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	11/9/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	11/9/2012
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	10/10/2005	11/30/2005
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	10/10/2005	11/30/2005
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/25/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/25/2013
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	9/16/1994	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	9/16/1994	3/31/1997
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/2/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/2/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/10/2017
Active	Motorists Mutual Insurance Company	300963	Agent - Property	8/10/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/4/2009	11/1/2012
Active	National Guardian Life Insurance Company	300596	Agent - Health	1/10/2014
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/30/2009	11/1/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/3/2000	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/3/2000	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/16/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	7/1/2004
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/30/2010	11/1/2012
Active	Nutmeg Insurance Company	751698	Agent - Casualty	9/7/2022
Active	Nutmeg Insurance Company	751698	Agent - Property	9/7/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/4/2001	7/1/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	6/4/2001	7/1/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	9/25/1992	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	7/1/2004
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	5/31/2013	8/8/2018
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/23/2005	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	8/23/2005	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	8/23/2005	10/27/2009
Inactive	Omni Insurance Company	301545	Agent - Property	8/23/2005	10/27/2009
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/17/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/17/1998	7/31/2001
Inactive	Pacific Life Insurance Company	301848	Agent - Health	10/30/2000	7/1/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	2/28/2005	12/29/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	2/28/2005	12/29/2006
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/16/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	7/1/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/1/2005	11/1/2012
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/1/2005	11/1/2012
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	2/1/2005	11/1/2012
Active	Principal National Life Insurance Company	301926	Agent - Life	7/29/2015
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/16/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/16/2024
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/29/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/29/2009
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/1/2013
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/1/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/12/2016	12/24/2018
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	6/4/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/22/2010	11/1/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/22/2010	11/1/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/31/2011	10/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/31/2011	10/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	10/31/2011	10/6/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/16/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/16/2015
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/31/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/31/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	10/31/2011	9/29/2012
Active	Selective Insurance Company of America	500018	Agent - Casualty	5/27/2020
Active	Selective Insurance Company of America	500018	Agent - Property	5/27/2020
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/27/2020
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	5/27/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/27/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	5/27/2020
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/23/2005	12/17/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/23/2005	12/17/2010
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/14/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	5/14/2020
Inactive	Standard Insurance Company	300185	Agent - Health	12/26/2014	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	12/26/2014	12/5/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	8/7/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/20/1987	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004
Inactive	State Life Insurance Company	301497	Agent - Health	3/19/2004	7/1/2004
Inactive	State Life Insurance Company	301497	Agent - Life	3/19/2004	7/1/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	9/3/2002	7/1/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	9/3/2002	7/1/2004
Active	Superior Dental Care Inc.	300418	Agent - Health	11/15/2018
Active	The Phoenix Insurance Company	301502	Agent - Casualty	5/14/2020
Active	The Phoenix Insurance Company	301502	Agent - Property	5/14/2020
Inactive	Time Insurance Company	300683	Agent - Health	10/26/2005	3/31/2011
Inactive	Time Insurance Company	300683	Agent - Life	10/26/2005	3/31/2011
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/14/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/14/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/14/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/14/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/14/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/14/2020
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/21/2022
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/21/2022
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/12/2015	12/13/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/12/2015	12/13/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	2/3/1993	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	2/3/1993	3/31/1997
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	4/18/2022
Active	Twin City Fire Insurance Company	300721	Agent - Property	4/18/2022
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/12/1995	12/21/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/12/1995	12/21/1998
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/2013
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/2013
Inactive	USG Annuity & Life Company	300457	Agent - Life	6/2/2000	1/1/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Health	2/11/2002	7/1/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Life	2/11/2002	7/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Health	1/18/2000	7/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	1/18/2000	7/1/2004
Active	United Financial Casualty Company	301886	Agent - Casualty	7/16/2024
Active	United Financial Casualty Company	301886	Agent - Property	7/16/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	12/19/2018	4/24/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/4/2009	11/1/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/4/2009	11/1/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/12/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/18/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	10/9/1998	3/1/2001
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/18/2022
Active	Unum Insurance Company	301499	Agent - Health	8/7/2019
Active	Unum Insurance Company	301499	Agent - Life	8/7/2019
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	7/1/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Health	2/7/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/7/2008	11/16/2011
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	5/25/2017
Inactive	Westfield Insurance Company	301950	Agent - General Lines	9/25/1992	8/15/2000
Active	Westfield Insurance Company	301950	Agent - Property	5/25/2017
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	9/25/1992	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	7/1/2004
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/1/2000	7/1/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/1/2000	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Of Kentucky LLC	798010	Agent - Life	1/25/2013	1/8/2020
Inactive	Assuredpartners Of Kentucky LLC	798010	Agent - Health	1/25/2013	1/8/2020
Inactive	Assuredpartners Of Kentucky LLC	798010	Agent - Property	2/22/2013	1/8/2020
Inactive	Assuredpartners Of Kentucky LLC	798010	Agent - Casualty	2/22/2013	1/8/2020
Denied	CBISA Reaquisitian Corp	547026	Agent - Life
Denied	CBISA Reaquisitian Corp	547026	Agent - Health
Active	Dental Choice Agency Inc.	398085	Agent - Health	2/14/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	4/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	4/12/2013
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - General Lines	4/1/1987	8/15/2000
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Life	8/16/2005	11/1/2012
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Health	8/16/2005	11/1/2012
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Property	8/16/2005	11/1/2012
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Casualty	8/16/2005	11/1/2012
Inactive	Medlink Inc	400721	Agent - Life	7/9/2009	11/1/2012
Inactive	Medlink Inc	400721	Agent - Health	7/9/2009	11/1/2012
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014