DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crist, Mary K	DOIID	723971	NAIC NPN	7920735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/5/2010	12/31/2018
Inactive	Non Resident	Agent	Casualty	3/5/2010	12/31/2018
* 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	Aspen American Insurance Company	301513	Agent - Casualty	6/4/2012	12/31/2013
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	6/23/2015	8/8/2017
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	6/23/2015	8/8/2017
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/13/2013	9/27/2017
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	11/13/2013	9/27/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	11/13/2013	9/27/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Property	11/13/2013	9/27/2017
Inactive	Great American Insurance Company	301586	Agent - Casualty	11/19/2012	12/31/2018
Inactive	Great American Insurance Company	301586	Agent - Property	11/19/2012	12/31/2018
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	4/2/2010	4/18/2017
Inactive	Westfield National Insurance Company	301036	Agent - Property	4/2/2010	4/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	5/17/2010	7/18/2017
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	5/17/2010	7/18/2017