DEPARTMENT OF INSURANCE

Affiliations

Name	Headen-Crawford, Shamari	DOIID	963953	NAIC NPN	18479110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/16/2017	5/31/2021
* 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	4/9/2021	5/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/5/2018	5/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	5/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021	5/31/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/16/2020	4/26/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/17/2018	12/10/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/5/2018	5/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2018	12/10/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/12/2018	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/2019	5/31/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/17/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/17/2018	12/10/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/5/2020	11/24/2020
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/16/2017	5/9/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/8/2020	5/31/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	9/24/2018	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/12/2020	5/3/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/16/2017	5/9/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/12/2020	5/3/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/12/2020	5/3/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2020	5/3/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/25/2018	5/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/14/2018	5/31/2021

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	5/23/2018	4/27/2021
Inactive	Gohealth LLC	691445	Agent - Health	11/29/2018	5/31/2021