DEPARTMENT OF INSURANCE
Affiliations
NameMims, Crystal DOIID814850NAIC NPN16990979
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty3/6/2025 12/31/2025
ActiveNon ResidentAgentCasualty3/6/2025 12/31/2025
ActiveNon ResidentAgentHealth9/26/2020 12/31/2025
* 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
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health8/9/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/23/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/9/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/9/2022 
InactiveAllstate Indemnity Company300778Agent - Casualty7/22/20136/24/2014
InactiveAllstate Indemnity Company300778Agent - Property7/22/20136/24/2014
InactiveAllstate Insurance Company300773Agent - Casualty7/22/20136/24/2014
InactiveAllstate Insurance Company300773Agent - Property7/22/20136/24/2014
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty7/22/20136/24/2014
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property7/22/20136/24/2014
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/1/20221/12/2023
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/1/20221/12/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health8/1/20221/12/2023
InactiveBristol West Insurance Company301655Agent - Casualty6/5/20189/12/2019
InactiveBristol West Insurance Company301655Agent - Property6/5/20189/12/2019
InactiveCIGNA Health & Life Insurance Company301783Agent - Health8/16/20224/21/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/1/202412/19/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health8/1/20221/12/2023
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/23/2022 
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty7/8/20149/5/2019
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property7/8/20149/5/2019
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/8/20149/5/2019
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property7/8/20149/5/2019
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/18/2022 
InactiveHomesite Insurance Company301139Agent - Casualty6/13/20189/11/2019
InactiveHomesite Insurance Company301139Agent - Property6/13/20189/11/2019
InactiveHomesite Insurance Company of the Midwest874850Agent - Casualty6/13/20189/11/2019
InactiveHomesite Insurance Company of the Midwest874850Agent - Property6/13/20189/11/2019
InactiveHumana Insurance Company301104Agent - Health11/21/20221/12/2023
InactiveLoyal American Life Insurance Company301172Agent - Health9/18/20222/5/2023
InactiveMetropolitan Life Insurance Company301948Agent - Health8/16/20221/17/2023
InactiveMidvale Indemnity Company300292Agent - Casualty6/13/20189/11/2019
InactiveMidvale Indemnity Company300292Agent - Property6/13/20189/11/2019
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health8/1/202412/19/2024
ActiveSilverScript Insurance Company663526Agent - Health8/9/2022 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty10/19/20179/6/2019
InactiveState Automobile Mutual Insurance Company301824Agent - Property10/19/20179/6/2019
ActiveState Farm Fire and Casualty Company301809Agent - Casualty4/3/2025 
ActiveState Farm Fire and Casualty Company301809Agent - Property4/3/2025 
ActiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty4/3/2025 
InactiveTransamerica Life Insurance Company300571Agent - Health8/15/20225/11/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/1/202412/19/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/9/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/1/202412/19/2024
InactiveUnitrin Direct Property & Casualty Company637443Agent - Casualty4/10/20179/25/2019
InactiveUnitrin Direct Property & Casualty Company637443Agent - Property4/10/20179/25/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Health8/26/202212/29/2022
InactiveFarmers General Insurance Agency, Inc.516608Agent - Property3/31/20179/9/2019
InactiveFarmers General Insurance Agency, Inc.516608Agent - Casualty3/31/20179/9/2019

© Commonwealth of Kentucky. All rights reserved.