DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crosby, Chad E	DOIID	324033	NAIC NPN	7169741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	2/9/2007	4/30/2009
Active	Non Resident	Independent Adjuster	Property & Casualty	1/4/2012		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	02/15/2025	04/30/2025	04/09/2025	04/09/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custard Insurance Adjusters Inc.	401182	Independent Adjuster - Property & Casualty	2/13/2012	12/18/2014