DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch, Donald Ray	DOIID	643607	NAIC NPN	1647133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/7/2006	5/31/2026
Active	Non Resident	Agent	Life	11/7/2006	5/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/15/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	8/15/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/15/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	8/15/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/24/2009	12/20/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/26/2020	12/9/2023
Inactive	American Continental Insurance Company	643130	Agent - Health	7/20/2007	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	7/20/2007	11/11/2014
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	9/9/2013
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	10/1/2007
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/1/2007	8/19/2024
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/1/2010	1/12/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/2/2008	6/11/2014
Inactive	Conseco Insurance Company	301202	Agent - Health	8/9/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	8/9/2007	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/3/2007	12/11/2008
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	11/19/2008
Inactive	Family Life Insurance Company	300356	Agent - Health	7/8/2009	8/18/2016
Inactive	Family Life Insurance Company	300356	Agent - Life	7/8/2009	8/18/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/19/2008
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2012	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	Independent Life Insurance Company	301831	Agent - Health	2/15/2018	6/21/2021
Inactive	Independent Life Insurance Company	301831	Agent - Life	2/15/2018	6/21/2021
Active	Independent Order of Foresters	300743	Agent - Life	5/20/2009
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/31/2009
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/31/2009
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/7/2015	5/15/2019
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/30/2008	1/3/2014
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/8/2008	11/3/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/8/2008	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/21/2007	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/21/2007	11/27/2008
Inactive	SILAC Insurance Company	300535	Agent - Health	7/19/2013	11/5/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	7/19/2013	11/5/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/29/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/21/2011	2/1/2015
Inactive	United States Fire Insurance Company	582240	Agent - Health	5/16/2023	12/27/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/8/2008
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015
Inactive	Unity Financial Life Insurance Company	301054	Agent - Health	6/1/2007	4/4/2011
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	6/1/2007	4/4/2011
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/5/2019
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/5/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/28/2021
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crouch Ins Services	684961	Agent - Life	8/6/2008
Active	Crouch Ins Services	684961	Agent - Health	8/6/2008