DEPARTMENT OF INSURANCE

Affiliations

Name	Crisafulli, Kim C	DOIID	1049412	NAIC NPN	17651615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/31/2019	5/31/2025
Inactive	Non Resident	Agent	Life	1/6/2023	5/31/2025
* 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	9/11/2020	9/18/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/11/2020	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/11/2020	9/18/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2019	5/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	5/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/28/2019	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/22/2019	12/13/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/19/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	5/31/2025
Inactive	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/28/2024	5/31/2025
Inactive	Great Western Insurance Company	501693	Agent - Life	2/9/2023	5/7/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/16/2023	6/24/2025
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2021	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/30/2020	6/24/2025
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	1/27/2023	4/15/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/10/2019	9/18/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/11/2020	6/19/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/11/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/11/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/11/2020	6/19/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	5/31/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/13/2021	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	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	2/10/2025