DEPARTMENT OF INSURANCE
Affiliations
NameCrevoisier, Cristhian DalaiDOIID1104220NAIC NPN19656967
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/18/2021 11/30/2025
ActiveNon ResidentAgentHealth10/9/2020 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health1/5/20251/8/2025
InactiveAmerican General Life Insurance Company301585Agent - Life1/5/20251/8/2025
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life6/9/20213/20/2025
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/6/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
InactiveAnthem Life Insurance Company301209Agent - Health6/6/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/6/20214/15/2025
ActiveCareSource Kentucky Co.838179Agent - Health10/14/2021 
InactiveCompBenefits Insurance Company301864Agent - Health1/25/202112/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveFederal Insurance Company301144Agent - Health11/6/202011/6/2023
InactiveGolden Rule Insurance Company301943Agent - Health11/2/202012/2/2021
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/17/202112/12/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health10/12/20219/22/2022
InactiveNational Guardian Life Insurance Company300596Agent - Health11/13/20205/4/2022
ActiveNational Health Insurance Company300554Agent - Health10/27/2021 
ActiveNational Health Insurance Company300554Agent - Life10/27/2021 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health3/2/202112/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/2/202112/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEfficiency Health Group, Corp1120795Agent - Health2/15/2021 

© Commonwealth of Kentucky. All rights reserved.