DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crotts, Brandi Dalja	DOIID	855036	NAIC NPN	16982731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/3/2025		6/30/2026
Active	Non Resident	Agent	Health	4/3/2025		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 of Ohio Inc.	1065035	Agent - Health	4/8/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/28/2015	5/15/2018
Active	SilverScript Insurance Company	663526	Agent - Health	4/8/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Health
Denied	Humana MarketPOINT Inc.	398092	Agent - Life