DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crow, Mahlon L	DOIID	988713	NAIC NPN	17624674

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/23/2018	9/30/2023
Inactive	Non Resident	Agent	Life	3/23/2018	9/30/2023
* 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	11/13/2019	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/13/2019	7/9/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2019	9/30/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/8/2019	5/15/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/8/2019	5/15/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/27/2018	6/6/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/27/2018	6/6/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2019	2/27/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/14/2019	7/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2019	3/30/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	3/30/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/3/2019	3/30/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/3/2019	3/30/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/4/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/4/2019	9/20/2022

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 - Life	8/16/2019	5/15/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/16/2019	5/17/2021
Denied	Optavise, LLC	671337	Agent - Life
Inactive	Optavise, LLC	671337	Agent - Health	11/16/2022	9/30/2023
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/31/2019	2/14/2020