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.

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