DEPARTMENT OF INSURANCE
Affiliations
NameBeaven, Crystal GDOIID567355NAIC NPN7651626
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty5/21/20085/31/2009 
InactiveNon ResidentAgentLimited Line Credit9/26/20035/31/2007 
InactiveNon ResidentAgentProperty5/21/20085/31/2009 
InactiveNon ResidentAgentHealth10/27/20096/3/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit9/26/20035/31/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/12/20094/14/2010
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/12/20096/3/2010
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/12/20094/14/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCommonwealth Bank & Trust Company400910Agent - Limited Line Credit2/4/20045/31/2007
DeniedHBS Insurance, Inc.590889Agent - Property  
DeniedHBS Insurance, Inc.590889Agent - Casualty  

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