DEPARTMENT OF INSURANCE

Affiliations

Name	Crowston, C Michael	DOIID	678275	NAIC NPN	1207934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/11/2008	11/30/2018
Inactive	Non Resident	Agent	Health	4/11/2008	11/30/2018
Inactive	Non Resident	Agent	Casualty	4/29/2011	11/30/2018
Inactive	Non Resident	Agent	Property	4/29/2011	11/30/2018
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/28/2008	11/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/28/2008	11/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/28/2008	11/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	8/10/2017	11/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	8/10/2017	11/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/25/2010	11/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/25/2010	11/30/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/16/2011	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/16/2011	9/16/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	8/30/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	11/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/30/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/16/2011	11/30/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/16/2011	11/30/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/25/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/25/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/25/2008	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/25/2008	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/25/2008	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/25/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/25/2008	2/23/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/4/2008	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/21/2013	2/21/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/15/2009	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/15/2009	7/17/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/2/2011	11/30/2018
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/2/2011	11/30/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/29/2010	11/30/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	4/29/2010	11/30/2018
Inactive	Time Insurance Company	300683	Agent - Health	9/7/2011	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	9/7/2011	12/20/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/4/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/4/2008	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/9/2008	1/18/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/9/2008	11/30/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/18/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/9/2008	11/29/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	1/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/25/2010	11/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/25/2010	11/30/2018