DEPARTMENT OF INSURANCE
Affiliations
NameVernier, Crystal DOIID1163828NAIC NPN20005076
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/11/2022 6/30/2025
ActiveNon ResidentAgentHealth10/4/2021 6/30/2025
* 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
Agent04/15/202506/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArcadian Health Plan, Inc.728196Agent - Health11/2/202112/12/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/1/202112/13/2022
InactiveHumana Insurance Company301104Agent - Health11/17/202112/13/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingTZ Insurance Solutions LLC727470Agent - Health  
PendingTZ Insurance Solutions LLC727470Agent - Life  
InactiveTrubridge Inc717747Agent - Health5/17/202412/12/2024
DeniedTrubridge Inc717747Agent - Life  

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