PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCrelly, Shane DOIID754595NAIC NPN16194554
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth5/18/2011 10/31/2025
ActiveNon ResidentAgentCasualty3/19/2013 10/31/2025
ActiveNon ResidentAgentLife5/18/2011 10/31/2025
ActiveNon ResidentAgentProperty3/19/2013 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAIG Property Casualty Company300621Agent - Casualty1/3/2022 
ActiveAIG Property Casualty Company300621Agent - Property1/3/2022 
ActiveAllstate Indemnity Company300778Agent - Casualty1/3/2022 
ActiveAllstate Indemnity Company300778Agent - Property1/3/2022 
ActiveAllstate Insurance Company300773Agent - Casualty1/3/2022 
ActiveAllstate Insurance Company300773Agent - Property1/3/2022 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty1/3/2022 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property1/3/2022 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty1/3/2022 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property1/3/2022 
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Casualty9/29/2022 
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Property9/29/2022 
InactiveAmerican Family Home Insurance Company301817Agent - Casualty5/17/20133/7/2018
InactiveAmerican Family Home Insurance Company301817Agent - Property5/17/20133/7/2018
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty5/17/20132/22/2018
InactiveAmerican Modern Home Insurance Company300791Agent - Property5/17/20132/22/2018
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty5/17/20132/22/2018
InactiveAmerican Modern Select Insurance Company581481Agent - Property5/17/20132/22/2018
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty5/17/20132/22/2018
InactiveAmerican Southern Home Insurance Company626276Agent - Property5/17/20132/22/2018
InactiveAnthem Life Insurance Company301209Agent - Health9/19/201812/11/2021
InactiveAnthem Life Insurance Company301209Agent - Life9/19/201812/11/2021
InactiveBristol West Insurance Company301655Agent - Casualty10/28/20153/7/2018
InactiveBristol West Insurance Company301655Agent - Property10/28/20153/7/2018
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/1/2018 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/1/2018 
InactiveCareSource Kentucky Co.838179Agent - Health8/25/20216/26/2024
InactiveEncompass Indemnity Company546376Agent - Casualty1/7/202210/3/2024
InactiveEncompass Indemnity Company546376Agent - Property1/7/202210/3/2024
InactiveEsurance Insurance Company301072Agent - Casualty4/18/20146/21/2016
InactiveEsurance Insurance Company301072Agent - Property4/18/20146/21/2016
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/7/20131/25/2020
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/7/20131/25/2020
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/29/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/29/2022 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty12/17/20158/21/2017
InactiveForemost Property and Casualty Insurance Company300871Agent - Property12/17/20158/21/2017
InactiveForemost Signature Insurance Company300140Agent - Casualty12/17/20158/21/2017
InactiveForemost Signature Insurance Company300140Agent - Property12/17/20158/21/2017
ActiveGolden Rule Insurance Company301943Agent - Health5/27/2020 
ActiveGolden Rule Insurance Company301943Agent - Life5/27/2020 
ActiveHomesite Insurance Company301139Agent - Casualty6/27/2022 
ActiveHomesite Insurance Company301139Agent - Property6/27/2022 
ActiveHomesite Insurance Company of the Midwest874850Agent - Casualty6/27/2022 
ActiveHomesite Insurance Company of the Midwest874850Agent - Property6/27/2022 
InactiveIndependence American Insurance Company524747Agent - Health5/13/201912/21/2021
ActiveMadison National Life Insurance Company Inc.301458Agent - Health5/13/2019 
ActiveMilbank Insurance Company925185Agent - Casualty2/11/2022 
ActiveMilbank Insurance Company925185Agent - Property2/11/2022 
ActiveRoot Insurance Company964834Agent - Casualty9/6/2024 
ActiveRoot Insurance Company964834Agent - Property9/6/2024 
InactiveSAFECO Insurance Company of America300159Agent - Casualty5/15/20132/20/2018
InactiveSAFECO Insurance Company of America300159Agent - Property5/15/20132/20/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty5/15/20132/20/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Property5/15/20132/20/2018
InactiveTime Insurance Company300683Agent - Health5/20/20113/6/2013
InactiveTime Insurance Company300683Agent - Life5/20/20113/6/2013
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/19/20146/27/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/19/20146/27/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life9/19/20182/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health9/19/20182/10/2025
ActiveRate Insurance LLC791806Agent - Property1/4/2022 
ActiveRate Insurance LLC791806Agent - Casualty1/4/2022 
InactiveWells Fargo Insurance Inc.518950Agent - Property5/15/20132/8/2018
InactiveWells Fargo Insurance Inc.518950Agent - Casualty5/15/20132/8/2018

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