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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

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
Denied	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