DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crislip, Karen Kay	DOIID	580017	NAIC NPN	7892118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/4/2005	4/30/2009
Inactive	Non Resident	Agent	Casualty	8/4/2005	4/30/2009
Inactive	Non Resident	Agent	Health	8/4/2005	4/30/2009
Inactive	Non Resident	Agent	Life	8/4/2005	4/30/2009
* 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	AMEX Assurance Company	301728	Agent - Casualty	10/3/2005	3/13/2006
Inactive	AMEX Assurance Company	301728	Agent - Property	10/3/2005	3/13/2006
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	4/28/2006	4/26/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	4/28/2006	4/26/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	4/28/2006	4/26/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	4/28/2006	6/20/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/28/2005	4/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Health	5/2/2006	2/28/2008
Inactive	Global Contact Services	546831	Agent - Life	5/2/2006	4/26/2007
Inactive	Global Contact Services	546831	Agent - Casualty	5/2/2006	4/26/2007
Inactive	Global Contact Services	546831	Agent - Property	5/2/2006	2/28/2008