DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crabtree, Etta Sayles	DOIID	345036	NAIC NPN	1892513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/22/1995	10/7/1996
Inactive	Resident	Agent	Life	8/22/1995	10/7/1996
* 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	National States Insurance Company	300579	Agent - Health	8/22/1995	6/10/1996
Inactive	National States Insurance Company	300579	Agent - Life	8/22/1995	6/10/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/27/1996	10/7/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/27/1996	10/7/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U H S of KY, Inc.	400144	Agent - Life	9/25/1995	6/4/1996
Inactive	U H S of KY, Inc.	400144	Agent - Health	9/25/1995	6/4/1996