Individual Information

JOHN E SCHUYLER

HARRISBURG, PA 17110-1616

Active

john.schuyler@crump.com

10/11/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3384198	10/11/2018	Active	10/11/2018	10/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/11/2018	Active	10/11/2018
Life	10/11/2018	Active	10/11/2018
Var. Annuities/Var. Life	10/11/2018	Active	10/11/2018

Company Name	Appointment Type	Status	Active Date
1099
ANTHEM LIFE INSURANCE COMPANY	Life	Active	06/11/2021
262
Company Name	Appointment Type	Status	Active Date
ASSURITY LIFE INSURANCE COMPANY	Health	Active	12/30/2018
	Life	Active	12/30/2018
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Life	Active	12/07/2018
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	12/20/2018
	Life	Active	12/20/2018
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	02/09/2020
1036
Company Name	Appointment Type	Status	Active Date
INTEGRITY LIFE INSURANCE COMPANY	Life	Active	04/16/2019
	Var. Annuities/Var. Life	Active	04/16/2019
512
Company Name	Appointment Type	Status	Active Date
PACIFIC LIFE INSURANCE COMPANY	Health	Active	04/19/2019
	Life	Active	04/19/2019
	Var. Annuities/Var. Life	Active	04/19/2019
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	02/09/2020
1190
Company Name	Appointment Type	Status	Active Date
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK	Life	Active	06/03/2019

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
CRUMP LIFE INSURANCE SERVICES, LLC	Designated Resp Lic Prdcr	Agency	11/20/2020	-

1 - 1