DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crooks, Jeff	DOIID	1015064	NAIC NPN	18794930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/13/2022		5/31/2025
Active	Non Resident	Agent	Life	4/13/2022		5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/7/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/3/2020	5/31/2021
Inactive	Elixir Insurance Company	696846	Agent - Health	4/22/2019	9/18/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/23/2018	4/5/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/23/2018	4/5/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	8/15/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	8/15/2023
Inactive	National Health Insurance Company	300554	Agent - Health	11/4/2022	5/30/2023
Inactive	National Health Insurance Company	300554	Agent - Life	11/4/2022	5/30/2023
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/10/2020	5/31/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/10/2020	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	Ushealth Advisors Llc	713288	Agent - Life	10/23/2018	4/5/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/23/2018	4/5/2019