DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crowder, Richard Michael	DOIID	1024666	NAIC NPN	16680832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/17/2024		2/28/2026
Active	Non Resident	Agent	Health	5/17/2024		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	7/22/2021	3/28/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/22/2021	3/28/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/14/2019	1/4/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/14/2019	1/4/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/26/2021	4/15/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/26/2021	4/15/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/20/2020	1/31/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/19/2020	1/31/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/13/2021	4/4/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/22/2021	3/28/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/22/2021	3/28/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/20/2020	3/13/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/20/2020	3/13/2023
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/4/2019	12/21/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/4/2019	12/21/2022
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	10/11/2021	4/4/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	12/3/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/15/2020	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/15/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	2/14/2019	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	2/14/2019	3/2/2023