DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch Ins Services	DOIID	684961	NAIC NPN	7141920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/6/2008	3/31/2026
Active	Non Resident	Agent	Health	8/6/2008	3/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/8/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/8/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	9/23/2019
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/28/2009	11/28/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/28/2009	12/8/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/12/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/30/2021	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/30/2021	1/6/2025
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/2/2008	6/11/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/8/2014
Active	Forethought Life Insurance Company	301407	Agent - Health	7/2/2013
Active	Forethought Life Insurance Company	301407	Agent - Life	7/2/2013
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/17/2019	2/17/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/14/2008	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/30/2008	2/20/2015
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/3/2008	2/20/2015
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2012
Active	SilverScript Insurance Company	663526	Agent - Health	9/23/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	8/14/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/14/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/14/2008	12/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/17/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/17/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/5/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crouch, Donald Ray	643607	Agent - Health	8/6/2008
Active	Crouch, Donald Ray	643607	Agent - Life	8/6/2008
Inactive	Smith, Bracken Eric	386168	Agent - Health	8/6/2008	11/1/2017
Inactive	Smith, Bracken Eric	386168	Agent - Life	8/6/2008	11/1/2017