DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crosser, Karin J	DOIID	614152	NAIC NPN	6904303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/22/2005	1/31/2013
Inactive	Non Resident	Agent	Property	8/22/2005	1/31/2013
Inactive	Non Resident	Agent	Health	8/22/2005	1/31/2013
Inactive	Non Resident	Agent	Life	8/22/2005	1/31/2013
* 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 Colony Life Insurance Company	301179	Agent - Health	5/17/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/17/2006	1/1/2007
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Health	8/30/2005	4/6/2011
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Life	8/30/2005	4/6/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/6/2006	12/9/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/6/2006	12/9/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/9/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/9/2008
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	8/29/2005	4/6/2011
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	8/29/2005	4/6/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Life	7/23/2008	4/6/2011
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Health	7/23/2008	4/6/2011
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	7/23/2008	4/6/2011
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	7/23/2008	4/6/2011