DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch, Harvey Clark	DOIID	321913	NAIC NPN	7168613

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Credit Life & Health	9/7/1994	12/31/1998
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Life	7/18/1989	7/1/2002
Inactive	Resident	Agent	General Lines	7/1/1986	8/15/2000
Inactive	Resident	Agent	Health	7/18/1989	7/1/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/1/1994	12/21/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/1/1994	12/21/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	6/29/1993	10/1/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	6/29/1993	10/1/1998
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/18/1989	6/5/1998
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/18/1989	6/5/1998
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	4/22/1994	4/8/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	4/22/1994	4/8/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	9/7/1994	12/31/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/9/1997	12/18/2001
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/9/1997	12/18/2001
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/11/1995	7/1/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/11/1995	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/1/1986	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mount Sterling National Bank	399403	Agent - Credit Life & Health	1/24/1996	12/31/1998