Agency Information

INSURANCE PLACEMENT SERVICES INC

Address:

ATTN: TODD CRANE (C-3)

BLOOMINGTON, IL 61710-0001

Phone

309-994-8633

URL:

Email:

todd.m.crane.cqss@statefarm.com

National Producer Number:

3121011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	10114	10/01/2001	Active	10/01/2001	05/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	04/23/2002	Active	04/23/2002

Company Name	Appointment Type	Status	Active Date
1099
ANTHEM LIFE INSURANCE COMPANY	Health	Active	08/22/2015
125586
Company Name	Appointment Type	Status	Active Date
HUMANA BENEFIT PLAN OF ILLINOIS INC	Health	Active	11/28/2023
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	01/21/2017
	Life	Active	01/21/2017
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	07/17/2018
897
Company Name	Appointment Type	Status	Active Date
JACKSON NATIONAL LIFE INSURANCE COMPANY	Life	Active	05/17/2019
	Var. Annuities/Var. Life	Active	05/17/2019

row(s) 1 - 7 of 7

Name	Association Type	Agent	Begin Date	End Date
TODD M CRANE	Designated Resp Lic Prdcr	Yes	04/27/2022	-

1 - 1