DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch, Robert	DOIID	1259067	NAIC NPN	16973598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/2/2023		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	3/6/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/2/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	3/6/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/7/2023	2/6/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	3/6/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/2/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/18/2023