DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Whitaker, Crystal Ann	DOIID	571676	NAIC NPN	7727393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/14/2004	10/31/2005
Inactive	Resident	Agent	Life	10/19/2015	11/1/2017
* 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	American General Life Insurance Company	301585	Agent - Life	4/25/2016	11/1/2017
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	7/18/2003	7/2/2004
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/25/2003	7/2/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/26/2016	11/1/2017
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/30/2016	11/1/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/28/2016	11/1/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/21/2016	11/1/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/14/2004	10/31/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/14/2004	10/31/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/28/2016	11/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cetera Investment Services LLC	398143	Agent - Life	4/21/2016	11/1/2017
Inactive	Cumberland Valley Insurance, Llc	543430	Agent - Life	5/12/2016	11/1/2017