DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crilley, Mary Flore	DOIID	985441	NAIC NPN	8607078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/22/2018	3/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/18/2018	3/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/1/2018	4/25/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/18/2018	3/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/29/2018	12/19/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/5/2018	3/31/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/18/2018	3/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/2/2018	3/31/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/20/2019	3/31/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	5/15/2018	4/22/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	3/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Health	9/5/2018	12/21/2018