DEPARTMENT OF INSURANCE

Affiliations

Name	Crumrine Jr, Thomas Leslie	DOIID	391453	NAIC NPN	1772407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/26/2006		5/31/2025
Active	Non Resident	Agent	Health	1/26/2006		5/31/2025
Active	Non Resident	Agent	Property	1/26/2006		5/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	1/26/2006		5/31/2025
Active	Non Resident	Agent	Casualty	1/26/2006		5/31/2025
Inactive	Resident	Agent	General Lines	6/8/1992	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	1/26/2006	12/1/2008
Inactive	AIG Assurance Company	300897	Agent - Property	1/26/2006	12/1/2008
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	6/30/2016	11/8/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	6/30/2016	11/8/2022
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/11/2020
Active	Allied Insurance Company of America	793586	Agent - Property	2/11/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	7/12/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	7/12/2013
Active	American Strategic Insurance Corp	883540	Agent - Casualty	8/31/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	8/31/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/22/2017
Active	Bristol West Insurance Company	301655	Agent - Property	3/22/2017
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	7/23/2018	1/23/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	7/12/2013
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/27/2017
Active	Dairyland Insurance Company	301370	Agent - Property	2/27/2017
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/15/2007	4/26/2007
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/15/2007	4/26/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/26/2006
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/26/2006
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/26/2006	12/1/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	1/26/2006	12/1/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	12/1/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	12/1/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	7/12/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/26/2006	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/26/2006	11/14/2006
Active	Milbank Insurance Company	925185	Agent - Casualty	9/17/2021
Active	Milbank Insurance Company	925185	Agent - Property	9/17/2021
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	8/9/2010
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	8/9/2010
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/26/2006
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	7/1/1992	8/15/2000
Active	Nationwide General Insurance Company	300603	Agent - Casualty	1/26/2006
Inactive	Nationwide General Insurance Company	300603	Agent - General Lines	6/26/1995	8/15/2000
Active	Nationwide General Insurance Company	300603	Agent - Property	1/26/2006
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/26/2006	10/15/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/26/2006	10/15/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	1/26/2006	10/15/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/26/2006	10/15/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	11/9/2008	10/15/2020
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	1/26/2006	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	6/8/1992	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	1/26/2006	1/1/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/26/2006
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	6/8/1992	8/15/2000
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/26/2006
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/26/2006
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	6/8/1992	8/15/2000
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/26/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	7/12/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	7/12/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	7/12/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	7/12/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	7/12/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	7/12/2013
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	12/1/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	12/1/2008
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/26/2006
Active	Progressive Casualty Insurance Company	300696	Agent - Property	1/26/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/5/2017	12/4/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/5/2017	12/4/2017
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	6/1/2007	9/7/2007
Inactive	Truck Insurance Exchange	300335	Agent - Property	6/1/2007	9/7/2007
Active	United Financial Casualty Company	301886	Agent - Casualty	1/26/2006
Active	United Financial Casualty Company	301886	Agent - Property	1/26/2006
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/26/2007	8/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/26/2007	8/22/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	7/12/2013
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	7/12/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crumrine Financial Services Llc	1144161	Agent - Life	7/11/2021
Active	Crumrine Financial Services Llc	1144161	Agent - Health	7/11/2021
Active	Crumrine Financial Services Llc	1144161	Agent - Property	7/11/2021
Active	Crumrine Financial Services Llc	1144161	Agent - Casualty	7/11/2021
Inactive	Crumrine Insurance Agency Inc.	513699	Agent - Life	1/26/2006	3/31/2008
Inactive	Crumrine Insurance Agency Inc.	513699	Agent - Health	1/26/2006	3/31/2008
Inactive	Crumrine Insurance Agency Inc.	513699	Agent - Property	1/26/2006	3/31/2008
Inactive	Crumrine Insurance Agency Inc.	513699	Agent - Casualty	1/26/2006	3/31/2008
Active	NBS Insurance Agency Inc	515576	Agent - Property	1/26/2006
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	1/26/2006