DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crase, Janice Yvonne	DOIID	372490	NAIC NPN	7201225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/9/1974	5/24/1999
Inactive	Resident	Agent	General Lines	1/28/1991	8/15/2000
Inactive	Resident	Agent	Health	7/9/1974	5/24/1999
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
* 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	Brighthouse Life Insurance Company	301829	Agent - Health	7/9/1974	5/24/1999
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	7/9/1974	5/24/1999
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	2/28/2003
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	8/11/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	2/28/2003
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/28/2003
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/26/1996	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/28/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	2/28/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	8/11/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	2/28/2003
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	2/28/2003
Inactive	Peerless Insurance Company	301910	Agent - General Lines	8/11/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	2/28/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sams Insurance Agency Inc.	400980	Agent - General Lines	1/28/1991	8/15/2000
Inactive	Sams Insurance Agency Inc.	400980	Agent - Property	8/15/2000	2/28/2003
Inactive	Sams Insurance Agency Inc.	400980	Agent - Casualty	8/15/2000	2/28/2003