PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCrouch, Amy LDOIID1083941NAIC NPN6635436
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/15/20207/31/2023 
InactiveNon ResidentAgentLife5/15/20207/31/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNGL Insurance Company300596Agent - Health2/4/20227/31/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/29/20207/31/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/29/20207/31/2023
InactiveStarmount Life Insurance Company628031Agent - Health10/29/20207/31/2023
InactiveUNUM Life Insurance Company of America300817Agent - Health10/29/20207/31/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life10/29/20207/31/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/16/20218/31/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/16/20218/31/2023
InactiveUnum Insurance Company301499Agent - Health10/29/20207/31/2023
InactiveUnum Insurance Company301499Agent - Life10/29/20207/31/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBw Employee Benefits LLC683053Agent - Life2/4/20227/31/2023
InactiveBw Employee Benefits LLC683053Agent - Health2/24/20227/31/2023

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