DEPARTMENT OF INSURANCE

Affiliations

Name	Crouse, Glen P	DOIID	308930	NAIC NPN	7005244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/12/2007	9/27/2010
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/27/2010
Inactive	Non Resident	Agent	Life	4/12/2007	9/27/2010
Inactive	Non Resident	Agent	General Lines	6/24/1991	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	9/27/2010
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	6/28/1989	9/27/2010
* 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	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	6/24/1991	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/15/2002	9/27/2010
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	9/27/2010
Inactive	Federal Insurance Company	301144	Agent - General Lines	12/14/1995	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	9/27/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	2/21/1992	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/4/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/21/1992	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/21/1992	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	2/21/1992	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/28/2008	9/29/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/28/2008	9/29/2010
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/30/2008	11/4/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/30/2008	11/4/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	5/28/2009	9/27/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Property	5/28/2009	9/27/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/28/2009	9/27/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/28/2009	9/27/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/28/2009	9/27/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	5/28/2009	9/27/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/30/2008	11/4/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/30/2008	11/4/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/13/2008	9/27/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/13/2008	9/27/2010
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/4/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/21/1992	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/4/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	6/27/2008
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	2/29/1996	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	6/27/2008
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2000	9/27/2010
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	3/13/1996	8/15/2000
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2000	9/27/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property	6/13/2008	9/27/2010
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty	6/13/2008	9/27/2010
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	7/28/2008	9/27/2010
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	7/28/2008	9/27/2010