DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crumley, Michelle Deanna	DOIID	694829	NAIC NPN	12390051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/13/2021	4/30/2023
Inactive	Non Resident	Agent	Property	9/13/2021	4/30/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/17/2021	4/30/2023
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/1/2009	2/9/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/1/2009	2/9/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/1/2009	2/9/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/1/2009	2/9/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/11/2008	10/28/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/11/2008	10/28/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/4/2009	10/28/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/4/2009	10/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Avant Underwriters, LLC	786281	Agent - Casualty
Denied	Avant Underwriters, LLC	786281	Agent - Property
Inactive	Avant Underwriters, LLC	786281	Surplus Lines Broker - Not Applicable	9/28/2021	4/30/2023