DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crook, Vivian	DOIID	825590	NAIC NPN	14865050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/24/2013	5/31/2017
Inactive	Non Resident	Agent	Life	10/24/2013	5/31/2017
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/25/2013	5/10/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2013	5/10/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/31/2014	2/20/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/27/2014	2/20/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/9/2015	2/11/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/9/2015	2/11/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/31/2014	2/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/31/2014	2/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	1/27/2014	2/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	1/27/2014	2/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/3/2015	5/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/3/2015	5/31/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/31/2014	2/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/31/2014	2/20/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/9/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/9/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/9/2015	2/11/2017

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 - Health	10/25/2013	3/15/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/25/2013	3/15/2016