DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pritchard, Chrysta Marie	DOIID	965478	NAIC NPN	18521231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/12/2017	8/31/2020
Inactive	Resident	Agent	Health	9/12/2017	8/31/2020
* 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	9/20/2017	10/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/20/2017	10/17/2017

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	9/20/2017	10/16/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/20/2017	10/16/2017
Inactive	Samsil & Holland, LLC	510802	Agent - Health	9/20/2017	10/4/2017
Inactive	Samsil & Holland, LLC	510802	Agent - Life	9/20/2017	10/4/2017