DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Crystal R	DOIID	567413	NAIC NPN	3521314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/7/2003	10/31/2024
Inactive	Non Resident	Agent	Casualty	4/7/2003	10/31/2024
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/6/2013	6/23/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/6/2013	6/23/2015
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	4/7/2003	12/15/2023
Inactive	Government Employees Insurance Company	300376	Agent - Property	4/7/2003	12/15/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	1/3/2015	12/16/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	1/3/2015	12/16/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017	12/16/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017	12/16/2024
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	8/11/2014
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	8/11/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	2/17/2020
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	2/17/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/18/2010	2/17/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/18/2010	2/17/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/26/2008	2/17/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/26/2008	2/17/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/26/2008	2/17/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/26/2008	2/17/2020
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	8/6/2018	2/17/2020
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	8/6/2018	2/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/21/2004	9/6/2024
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/21/2004	9/6/2024