DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor Wendolowski, Crystal	DOIID	1094466	NAIC NPN	19614607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/22/2020		8/31/2025
Active	Resident	Agent	Health	10/26/2020		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	12/14/2020	12/1/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	12/14/2020	12/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	6/16/2022	12/1/2022
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	6/16/2022	12/1/2022
Inactive	Charles Taylor TPA, LLC	401233	Agent - Life	12/14/2020	7/19/2021
Inactive	Charles Taylor TPA, LLC	401233	Agent - Health	12/14/2020	7/19/2021
Inactive	The Underwriters Group, Inc	674720	Agent - Life	7/19/2021	6/16/2022
Inactive	The Underwriters Group, Inc	674720	Agent - Health	7/19/2021	6/16/2022