DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Quirino, Crystal	DOIID	1034735	NAIC NPN	15170106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/1/2019		9/30/2026
Active	Non Resident	Agent	Life	4/1/2019		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/7/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/7/2019	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/7/2019	3/31/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/7/2021

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	5/7/2019	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/7/2019	2/11/2025