DEPARTMENT OF INSURANCE

Affiliations

Name	Crawford Jr, Joseph Sam	DOIID	624012	NAIC NPN	8690923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	1/23/2006	12/1/2009
Inactive	Resident	Agent	Life	2/24/2006	12/1/2009
Inactive	Resident	Agent	Health	2/24/2006	12/1/2009
Inactive	Resident	Agent	Variable Life and Variable Annuities	7/17/2007	12/1/2009
Inactive	Resident	Agent	Property	1/23/2006	12/1/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/10/2006	3/7/2007
Inactive	AIG Assurance Company	300897	Agent - Property	4/10/2006	3/7/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/19/2006	12/1/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/19/2006	12/1/2009
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/22/2006	8/29/2008
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/22/2006	8/29/2008
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/22/2006	8/29/2008
Inactive	Allstate Insurance Company	300773	Agent - Property	3/22/2006	8/29/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	3/22/2006	8/29/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	3/22/2006	8/29/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/12/2006	12/1/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/12/2006	12/1/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/30/2006	12/24/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/30/2006	12/24/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/1/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Health	3/9/2006	8/29/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/9/2006	8/29/2008
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	7/31/2007	12/1/2009
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	7/31/2007	12/1/2009
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	7/31/2007	12/1/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/3/2007	10/4/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/3/2007	10/4/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/11/2006	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/11/2006	11/10/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	4/10/2006	3/7/2007
Inactive	Granite State Insurance Company	300818	Agent - Property	4/10/2006	3/7/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/11/2006	12/1/2009
Inactive	Humana Insurance Company	301104	Agent - Health	12/11/2006	12/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	12/11/2006	12/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2006	12/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/11/2006	12/1/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/11/2006	12/1/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/11/2006	12/1/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	3/7/2007
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	3/7/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/27/2006	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/27/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/27/2006	11/9/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/27/2006	11/9/2009
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/27/2006	12/11/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/11/2006	8/29/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/11/2006	8/29/2008
Inactive	MedAmerica Insurance Company	301568	Agent - Health	11/15/2006	12/7/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/6/2006	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/6/2006	11/19/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	10/19/2007
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	10/19/2007
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/6/2006	12/3/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/6/2006	12/3/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/30/2006	12/1/2009
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/30/2006	12/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joseph Crawford Insurance Agency, Inc	641796	Agent - Casualty	10/11/2006	8/29/2008
Inactive	Joseph Crawford Insurance Agency, Inc	641796	Agent - Property	10/11/2006	8/29/2008
Inactive	Joseph Crawford Insurance Agency, Inc	641796	Agent - Health	10/11/2006	12/1/2009
Inactive	Joseph Crawford Insurance Agency, Inc	641796	Agent - Life	10/11/2006	12/1/2009
Inactive	Kentucky Ins And Investment Group	601566	Agent - Casualty	4/10/2006	12/27/2006
Inactive	Kentucky Ins And Investment Group	601566	Agent - Property	4/10/2006	12/27/2006
Inactive	Kentucky Ins And Investment Group	601566	Agent - Health	4/10/2006	12/27/2006
Inactive	Kentucky Ins And Investment Group	601566	Agent - Life	4/10/2006	12/27/2006