DEPARTMENT OF INSURANCE

Affiliations

Name	Fullwood, Crystal Denise	DOIID	977494	NAIC NPN	18545373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/22/2017	10/31/2023
* 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	11/29/2017	10/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/20/2021	7/14/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2020	10/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/29/2017	10/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/20/2023	10/23/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/20/2023	10/23/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/20/2023	10/23/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/24/2018	10/31/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/30/2021	12/8/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/6/2023	10/19/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/20/2023	10/23/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/20/2021	7/14/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/29/2017	10/31/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/5/2021	12/8/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/2/2022	12/8/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/26/2020	10/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/6/2023	10/19/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/6/2023	10/19/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	2/7/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018	2/7/2023

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	8/27/2018	10/31/2023