DEPARTMENT OF INSURANCE

Affiliations

Name	Nurse, Crysty Dawn	DOIID	538940	NAIC NPN	7219732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/22/2025		7/31/2026
Active	Non Resident	Agent	Casualty	4/22/2025		7/31/2026
Inactive	Non Resident	Agent	Life	1/17/2017	8/31/2023
Inactive	Non Resident	Agent	Health	1/17/2017	8/31/2023
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/19/2022	2/2/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/19/2022	2/2/2023
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/19/2022	2/2/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/19/2022	2/2/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/28/2022	8/31/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/28/2022	8/31/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/28/2022	8/31/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2022	8/31/2023
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/9/2017	7/17/2019
Inactive	Great American Insurance Company	301586	Agent - Property	8/9/2017	7/17/2019
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/15/2022	8/31/2023
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/15/2022	8/31/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/20/2009	12/14/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/20/2009	12/14/2016
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	1/20/2009	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	1/20/2009	11/17/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/20/2009	12/14/2016
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/20/2009	12/14/2016
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/16/2007	7/31/2008
Inactive	Time Insurance Company	300683	Agent - Health	11/14/2012	7/9/2016
Inactive	Western Surety Company	300283	Agent - Casualty	7/22/2021	12/9/2022
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	5/19/2022	2/2/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	5/19/2022	2/2/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/19/2022	2/2/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/19/2022	2/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assuredpartners Of Indiana Llc	804612	Agent - Property
Inactive	Assuredpartners Of Indiana Llc	804612	Agent - Casualty	7/22/2021	3/5/2023
Denied	Assuredpartners Of Indiana Llc	804612	Agent - Life
Denied	Assuredpartners Of Indiana Llc	804612	Agent - Health
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Property	9/8/2017	7/17/2019
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Casualty	9/8/2017	7/17/2019
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Life
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Health
Inactive	Epic Ins Solutions LLC	802896	Agent - Property	8/9/2017	3/5/2019
Inactive	Epic Ins Solutions LLC	802896	Agent - Casualty	8/9/2017	3/5/2019
Denied	Epic Ins Solutions LLC	802896	Agent - Life
Denied	Epic Ins Solutions LLC	802896	Agent - Health
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Property	11/12/2018	7/17/2019
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Casualty	11/12/2018	7/17/2019
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Life
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Health