DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crescent Meadow, LLC	DOIID	1143878	NAIC NPN	19950529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/13/2023		3/31/2027
Active	Non Resident	Agent	Casualty	2/13/2023		3/31/2027
Inactive	Non Resident	Agent	Life	7/13/2021	3/21/2023
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/22/2023		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bolig, Jacquelyn M	605160	Agent - Casualty	2/13/2023
Active	Bolig, Jacquelyn M	605160	Agent - Property	2/13/2023
Inactive	Jacobs, Ari Noah	1137582	Agent - Life	7/13/2021	3/21/2023
Active	Owens, Stephanie Ann	536563	Agent - Casualty	4/5/2023
Active	Owens, Stephanie Ann	536563	Agent - Property	4/5/2023
Active	Owens, Stephanie Ann	536563	Surplus Lines Broker - Not Applicable	6/22/2023