DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crosetto, Michael L	DOIID	909847	NAIC NPN	8183956

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Travel	3/15/2016		3/31/2027
Active	Non Resident	Agent	Health	3/15/2016		3/31/2027
Active	Non Resident	Agent	Life	3/15/2016		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	4/25/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	4/25/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	4/25/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/25/2017	6/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Specialty Program Group LLC	937234	Agent - Travel
Active	Specialty Program Group LLC	937234	Agent - Life	8/11/2025
Active	Specialty Program Group LLC	937234	Agent - Health	8/11/2025
Active	Total Benefits Solutions LLC	909546	Agent - Travel	4/18/2016
Active	Total Benefits Solutions LLC	909546	Agent - Life	4/18/2016
Active	Total Benefits Solutions LLC	909546	Agent - Health	4/18/2016