DEPARTMENT OF INSURANCE

Affiliations

Name	Crabtree, Robert A	DOIID	352701	NAIC NPN	59869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/13/2010		6/30/2026
Active	Non Resident	Agent	Life	9/13/2010		6/30/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	1/12/1994	3/1/2001
* 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	04/15/2024	06/30/2024	05/01/2024	05/01/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	12/28/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/2/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/28/2006	6/2/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/28/2006	6/2/2010
Inactive	American United Life Insurance Company	300498	Agent - Health	3/16/2007	12/2/2009
Inactive	American United Life Insurance Company	300498	Agent - Life	3/16/2007	12/2/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	1/12/1994	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/28/2010	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/2010	12/10/2020
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/13/1992	10/7/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/13/1992	10/7/2004
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	12/12/1994	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	12/12/1994	3/31/1997
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	5/6/2002	6/11/2003
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	5/6/2002	6/11/2003
Inactive	SeeChange Health Insurance Company	301115	Agent - Health	10/15/1992	3/31/2001
Inactive	SeeChange Health Insurance Company	301115	Agent - Life	10/15/1992	3/31/2001
Inactive	Time Insurance Company	300683	Agent - Health	3/31/2004	8/20/2007
Inactive	Time Insurance Company	300683	Agent - Life	3/31/2004	8/20/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	2/27/1995	12/28/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	2/27/1995	12/28/2007
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	5/15/2003	12/28/2006
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	5/15/2003	12/28/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/3/2000	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/3/2000	6/21/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/4/2011	1/8/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/28/2010	12/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/28/2010	12/10/2020
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	1/10/1994	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	1/10/1994	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	6/9/2003	6/2/2010
Inactive	Medlink Inc	400721	Agent - Health	6/9/2003	6/2/2010