DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crump, Keith A	DOIID	834707	NAIC NPN	17201887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/11/2014	3/1/2017
Inactive	Resident	Agent	Health	9/23/2014	3/1/2017
* 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	4/24/2015	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/15/2014	8/11/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/15/2014	12/8/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/1/2014	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/1/2014	12/14/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/15/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2014	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2014	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/15/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/15/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/15/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/15/2014	11/3/2015
Inactive	Modern Woodmen of America	301213	Agent - Life	3/13/2014	11/13/2015

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	4/24/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/24/2015	11/2/2016