DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor Crider, Micki Lee	DOIID	560051	NAIC NPN	7503360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/12/2003	7/31/2004
Inactive	Resident	Agent	Health	9/9/2003	7/31/2004
Inactive	Resident	Agent	Property	1/14/2003	7/31/2004
Inactive	Resident	Agent	Casualty	1/14/2003	7/31/2004
* 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	Dairyland Insurance Company	301370	Agent - Casualty	11/10/2003	7/16/2004
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/11/2003	7/31/2004
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/11/2003	7/31/2004
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/11/2003	7/31/2004
Inactive	Grange Insurance Company	300234	Agent - Property	2/11/2003	7/31/2004
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/27/2003	7/31/2004
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/27/2003	7/31/2004
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	3/6/2003	2/23/2004
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	3/6/2003	2/23/2004
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	3/6/2003	2/23/2004
Inactive	GuideOne Insurance Company	301794	Agent - Property	3/6/2003	2/23/2004
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	3/6/2003	2/23/2004
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	3/6/2003	2/23/2004
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/11/2003	7/31/2004
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/11/2003	7/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Casualty	3/19/2003	7/31/2004
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Property	3/19/2003	7/31/2004
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Health	1/12/2004	7/31/2004
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Life	1/12/2004	7/31/2004