DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crowley, Jack Marvin	DOIID	780416	NAIC NPN	369883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/28/2019		11/30/2024
Active	Non Resident	Agent	Property	5/28/2019		11/30/2024
Active	Non Resident	Agent	Life	5/28/2019		11/30/2024
Active	Non Resident	Agent	Casualty	5/28/2019		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atlantic Specialty Insurance Company	518595	Agent - Casualty	6/4/2019
Active	Atlantic Specialty Insurance Company	518595	Agent - Property	6/4/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/11/2012	12/16/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/11/2012	12/16/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	1/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/10/2020	1/30/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/10/2020	1/30/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/10/2020	1/30/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/14/2019
Active	Zurich American Insurance Company	301121	Agent - Property	6/14/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Texas Inc	600311	Agent - Life	2/4/2013	12/16/2014
Inactive	Willis Of Texas Inc	600311	Agent - Property	7/4/2019	1/8/2020
Inactive	Willis Of Texas Inc	600311	Agent - Health	2/4/2013	12/16/2014
Inactive	Willis Of Texas Inc	600311	Agent - Casualty	7/4/2019	1/8/2020
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Life	2/10/2020	1/30/2023
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	2/1/2020
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Health	2/10/2020	1/30/2023
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	2/1/2020