DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch, Donald Ray	DOIID	643607	NAIC NPN	1647133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/7/2006	5/31/2026
Active	Non Resident	Agent	Life	11/7/2006	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/15/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	8/15/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/15/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	8/15/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/24/2009	12/20/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/26/2020	12/9/2023
Inactive	American Continental Insurance Company	643130	Agent - Health	7/20/2007	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	7/20/2007	11/11/2014
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	9/9/2013
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	10/1/2007
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/1/2007	8/19/2024
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/1/2010	1/12/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/2/2008	6/11/2014
Inactive	Conseco Insurance Company	301202	Agent - Health	8/9/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	8/9/2007	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/3/2007	12/11/2008
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	11/19/2008
Inactive	Family Life Insurance Company	300356	Agent - Health	7/8/2009	8/18/2016
Inactive	Family Life Insurance Company	300356	Agent - Life	7/8/2009	8/18/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/19/2008
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2012	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	Independent Life Insurance Company	301831	Agent - Health	2/15/2018	6/21/2021
Inactive	Independent Life Insurance Company	301831	Agent - Life	2/15/2018	6/21/2021
Active	Independent Order of Foresters	300743	Agent - Life	5/20/2009
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/31/2009
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/31/2009
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/7/2015	5/15/2019
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/30/2008	1/3/2014
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/8/2008	11/3/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/8/2008	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/21/2007	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/21/2007	11/27/2008
Inactive	SILAC Insurance Company	300535	Agent - Health	7/19/2013	11/5/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	7/19/2013	11/5/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/29/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/21/2011	2/1/2015
Inactive	United States Fire Insurance Company	582240	Agent - Health	5/16/2023	12/27/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/8/2008
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015
Inactive	Unity Financial Life Insurance Company	301054	Agent - Health	6/1/2007	4/4/2011
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	6/1/2007	4/4/2011
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/5/2019
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/5/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/28/2021
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crouch Ins Services	684961	Agent - Life	8/6/2008
Active	Crouch Ins Services	684961	Agent - Health	8/6/2008