black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EXPRESS SCRIPTS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN187892
Status:
First Licensure:
03/09/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1 EXPRESS WAY
SAINT LOUIS, MO 63121-1824
Mailing:
1 EXPRESS WAY STOP HQ2E03
SAINT LOUIS, MO 63121-1824
Phone:
+1 (800) 332-5455
Fax:
+1 (800) 417-8163
Email:
tim.quinn@evernorth.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/09/2011 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
COMPANION LIFE INSURANCE COMPANY
11/19/2021 LHF89767

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ANGELA KAYLENE CREWTHER
04/19/2021 PRN279068

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ANGELA KAYLENE CREWTHER PRN279068

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1950572

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/15/2026 10:29:35 AM