DEPARTMENT OF INSURANCE

Affiliations

Name	Crissey, Tina Marie	DOIID	618067	NAIC NPN	8573286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/14/2005	1/1/2010
Active	Non Resident	Agent	Casualty	1/12/2007		3/31/2025
Active	Non Resident	Agent	Property	1/12/2007		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/4/2019	4/5/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/4/2019	4/5/2024
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/24/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/3/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/3/2016	11/14/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/3/2015	4/16/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/3/2015	4/16/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/12/2015	4/9/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	4/12/2015	4/9/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017	4/9/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017	4/9/2024
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/7/2015	1/8/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/7/2015	1/8/2024
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/6/2007	1/29/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/6/2007	1/29/2008
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/4/2015	11/4/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/4/2015	11/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	4/15/2015	10/3/2023
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	4/15/2015	10/3/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	1/8/2015	4/16/2024
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/8/2015	4/16/2024