DEPARTMENT OF INSURANCE

Affiliations

Name	Crum, Michael L	DOIID	355397	NAIC NPN	1494751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/15/1993	2/28/2010
Active	Non Resident	Agent	Life	6/27/1996		2/28/2026
Active	Non Resident	Agent	Health	6/27/1996		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/13/2015
Active	Aetna Life Insurance Company	301140	Agent - Health	5/13/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	5/13/2015
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/25/2003	11/29/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/25/2003	11/29/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Health	8/8/2007	8/16/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Life	8/8/2007	8/16/2010
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/8/2007	12/27/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	11/8/2007	12/27/2012
Inactive	Arch Insurance Company	300688	Agent - Health	6/17/2003	11/8/2006
Inactive	Canada Life Assurance Company	301192	Agent - Health	5/11/2007	2/5/2009
Inactive	Canada Life Assurance Company	301192	Agent - Life	5/11/2007	2/5/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/28/2009	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/28/2009	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/28/2009	9/8/2010
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/11/2009	9/22/2009
Inactive	Companion Life Insurance Company	300191	Agent - Life	2/11/2009	9/22/2009
Inactive	Continental Insurance Company (The)	301242	Agent - Health	11/14/2000	11/7/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/3/1998	9/17/2001
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/3/1998	9/17/2001
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	1/13/1998	12/29/2005
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	1/13/1998	12/29/2005
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/27/1996	8/4/2010
Inactive	HCC Life Insurance Company	301827	Agent - Life	6/27/1996	8/4/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/15/2001	12/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/21/2001	12/8/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/14/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	3/14/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/14/2008	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/14/2008	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/14/2008	9/8/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/27/2003	5/3/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/7/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/19/2009	10/9/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/19/2009	10/9/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/28/2000	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/28/2000	12/15/2003
Inactive	QBE Insurance Corporation	300515	Agent - Health	1/12/2004	9/10/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/27/2000	11/3/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/27/2000	11/3/2007
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	2/14/2005
Inactive	Southland Life Insurance Company	301175	Agent - Life	10/14/1997	10/1/2004
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/13/2003	11/22/2005
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/13/2003	11/22/2005
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	11/8/2006	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	11/8/2006	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/9/2004	12/15/2006
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/9/2004	12/15/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/3/1999	4/20/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/3/1999	4/20/2009
Inactive	Unimerica Insurance Company	563724	Agent - Health	9/14/2009	12/14/2009
Inactive	Unimerica Insurance Company	563724	Agent - Life	9/14/2009	12/14/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	2/5/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	2/5/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/27/2003	5/3/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/27/2003	5/3/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2006	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/31/2006	12/14/2009
Inactive	Westport Insurance Corporation	301875	Agent - Health	7/13/2001	9/26/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/28/2000	11/7/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/22/2004	1/8/2014
Inactive	Medben Marketing Services Inc.	398697	Agent - Life	12/11/1997	9/26/2017
Inactive	Medben Marketing Services Inc.	398697	Agent - Health	12/11/1997	9/26/2017
Inactive	Medical Benefits Administrators Inc.	395813	Administrator - Not Applicable	10/15/1993	5/31/2003