DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch Ins Services	DOIID	684961	NAIC NPN	7141920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/6/2008	3/31/2026
Active	Non Resident	Agent	Health	8/6/2008	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/8/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/8/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	9/23/2019
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/28/2009	11/28/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/28/2009	12/8/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/12/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/30/2021	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/30/2021	1/6/2025
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/2/2008	6/11/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/8/2014
Active	Forethought Life Insurance Company	301407	Agent - Health	7/2/2013
Active	Forethought Life Insurance Company	301407	Agent - Life	7/2/2013
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/17/2019	2/17/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/14/2008	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/30/2008	2/20/2015
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/3/2008	2/20/2015
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2012
Active	SilverScript Insurance Company	663526	Agent - Health	9/23/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	8/14/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/14/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/14/2008	12/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/17/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/17/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/5/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crouch, Donald Ray	643607	Agent - Health	8/6/2008
Active	Crouch, Donald Ray	643607	Agent - Life	8/6/2008
Inactive	Smith, Bracken Eric	386168	Agent - Health	8/6/2008	11/1/2017
Inactive	Smith, Bracken Eric	386168	Agent - Life	8/6/2008	11/1/2017