DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Michaels, Chrystasya Crouse	DOIID	525481	NAIC NPN	2514759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/29/2001	4/30/2003
Inactive	Non Resident	Agent	Casualty	5/29/2001	4/30/2003
Inactive	Resident	Agent	Health	9/16/2011	3/1/2013
* 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	First Health Life & Health Insurance Company	301735	Agent - Health	11/4/2010	4/7/2011
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	5/29/2001	8/2/2002
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	5/29/2001	8/2/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/29/2001	8/2/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/29/2001	8/2/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Senture LLC	731399	Agent - Health