DEPARTMENT OF INSURANCE

Affiliations

Name	Crockett, Henry	DOIID	963701	NAIC NPN	18506270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	12/7/2017	3/31/2027
Active	Resident	Agent	Life	8/29/2017	3/31/2027
Active	Resident	Agent	Health	9/1/2017	3/31/2027
Active	Resident	Agent	Property	12/8/2017	3/31/2027
* 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	American United Life Insurance Company	300498	Agent - Health	11/16/2023
Active	American United Life Insurance Company	300498	Agent - Life	11/16/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/2017	4/5/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/2017	4/5/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/23/2020	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/2/2022	12/12/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/10/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/10/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/30/2020	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2020	12/16/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/30/2020	12/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2018	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2018	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/30/2020	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2020	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/30/2020	12/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/30/2020	12/16/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/8/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/8/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/26/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	4/26/2023
Active	Standard Insurance Company	300185	Agent - Health	2/3/2025
Active	Standard Insurance Company	300185	Agent - Life	2/3/2025

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	10/10/2017	4/15/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/10/2017	4/15/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	2/10/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	2/10/2025
Pending	Marsh & Mclennan Agency LLC	716460	Agent - Casualty
Pending	Marsh & Mclennan Agency LLC	716460	Agent - Property
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	10/6/2017	4/4/2025
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	10/6/2017	4/4/2025