DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cross, Brent A	DOIID	760774	NAIC NPN	3682979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/12/2011	1/11/2016
Inactive	Non Resident	Agent	Casualty	8/12/2011	1/11/2016
Inactive	Non Resident	Agent	Property	8/12/2011	1/11/2016
Inactive	Non Resident	Agent	Life	8/12/2011	1/11/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/27/2015	1/11/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	10/27/2015	1/11/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	10/27/2015	1/11/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	10/27/2015	1/11/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/27/2015	1/11/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/27/2015	1/11/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/27/2015	1/11/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/27/2015	1/11/2016
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	2/3/2015	1/11/2016
Inactive	Safety National Casualty Corporation	300390	Agent - Property	2/3/2015	1/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corcoran & Havlin Ins Group	888007	Agent - Life	8/24/2015	12/16/2015
Inactive	Corcoran & Havlin Ins Group	888007	Agent - Health	8/24/2015	12/16/2015
Inactive	Corcoran & Havlin Ins Group	888007	Agent - Property	8/24/2015	12/16/2015
Inactive	Corcoran & Havlin Ins Group	888007	Agent - Casualty	8/24/2015	12/16/2015
Inactive	Cross Ins Inc - Higher Education Division	803219	Agent - Life	2/13/2013	12/16/2015
Inactive	Cross Ins Inc - Higher Education Division	803219	Agent - Health	2/13/2013	12/16/2015
Inactive	Cross Ins Inc - Higher Education Division	803219	Agent - Property	2/13/2013	12/16/2015
Inactive	Cross Ins Inc - Higher Education Division	803219	Agent - Casualty	2/13/2013	12/16/2015
Denied	Cross Insurance, Inc. - New Hampshire	763026	Agent - Life
Denied	Cross Insurance, Inc. - New Hampshire	763026	Agent - Health
Denied	Cross Insurance, Inc. - New Hampshire	763026	Agent - Property
Denied	Cross Insurance, Inc. - New Hampshire	763026	Agent - Casualty