DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crouch, Jason Daniel	DOIID	1128962	NAIC NPN	7280347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/12/2021	3/27/2024
Inactive	Non Resident	Agent	Casualty	4/12/2021	3/27/2024
* 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	American Economy Insurance Company	300315	Agent - Casualty	6/24/2022	3/6/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	6/24/2022	3/6/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/26/2021	3/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/26/2021	3/27/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/12/2022	3/6/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/12/2022	3/6/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/10/2022	3/14/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/10/2022	3/14/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	8/16/2021	3/14/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	8/16/2021	3/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blend Insurance Agency, Inc.	987571	Agent - Casualty	4/27/2022	2/29/2024
Inactive	Blend Insurance Agency, Inc.	987571	Agent - Property	4/27/2022	2/29/2024