black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB CROTTY

PRODUCER NON-RESIDENT

License Number:
PRN354093
Status:
First Licensure:
05/16/2020
Cancel Date:
None

Mailing:
CEDAR PARK, TX 78613
Phone:
+1 (512) 524-3330
Fax:
+1 (512) 597-2334
Email:
admin@medigap360.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/16/2020

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERITAS LIFE INSURANCE CORP
11/13/2022 LHF944
AMH HEALTH PLANS OF MAINE, INC.
11/01/2022 LHD353013 04/08/2024
AMH HEALTH, LLC
02/21/2022 HMD329485 04/08/2024
ANTHEM HEALTH PLANS OF MAINE INC.
02/21/2022 LHD70566 04/08/2024
ANTHEM INSURANCE COMPANIES INC
11/01/2022 LHF125537 04/08/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/25/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
12/08/2022 LHF860
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
03/20/2025 LHF183
MUTUAL OF OMAHA INSURANCE COMPANY
11/16/2020 LHF84 10/22/2021
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/01/2020 LHF58195 07/24/2025
UNITED OF OMAHA LIFE INSURANCE COMPANY
05/26/2023 LHF28 01/22/2025
UNITEDHEALTHCARE INSURANCE COMPANY
07/01/2020 LHF700 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
07/01/2020 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 01/25/2024
WELLCARE PRESCRIPTION INSURANCE INC
11/22/2022 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 05/16/2020 Active
LIFE 05/16/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19491039

Other Addresses

Address Type
2655 N AIRPORT RD UNIT 61681
FORT MYERS, FL 33907-1430
Office

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: 02/24/2026 04:27:23 AM