DEPARTMENT OF INSURANCE

Affiliations

Name	Cross Ins Inc - Higher Education Division	DOIID	803219	NAIC NPN	16793286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/13/2013	3/31/2019
Inactive	Non Resident	Agent	Property	2/13/2013	3/31/2019
Inactive	Non Resident	Agent	Health	2/13/2013	12/16/2015
Inactive	Non Resident	Agent	Life	2/13/2013	12/16/2015
* 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	American Fire and Casualty Company	300567	Agent - Casualty	4/2/2015	9/25/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/2/2015	9/25/2018
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/3/2013	12/14/2018
Inactive	Arch Insurance Company	300688	Agent - Health	5/3/2013	12/16/2015
Inactive	Arch Insurance Company	300688	Agent - Property	5/3/2013	12/14/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/2/2015	9/25/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	4/2/2015	9/25/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/2/2015	9/25/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/2/2015	9/25/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/2/2015	9/25/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/2/2015	9/25/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/2/2015	9/25/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	4/2/2015	9/25/2018
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	9/26/2014	3/31/2019
Inactive	Safety National Casualty Corporation	300390	Agent - Property	9/26/2014	3/31/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	4/2/2015	9/25/2018
Inactive	West American Insurance Company	301112	Agent - Property	4/2/2015	9/25/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cross, Brent A	760774	Agent - Casualty	2/13/2013	12/16/2015
Inactive	Cross, Brent A	760774	Agent - Health	2/13/2013	12/16/2015
Inactive	Cross, Brent A	760774	Agent - Life	2/13/2013	12/16/2015
Inactive	Cross, Brent A	760774	Agent - Property	2/13/2013	12/16/2015
Denied	Cross, Jonathan Michael	901611	Agent - Casualty
Denied	Cross, Jonathan Michael	901611	Agent - Health
Denied	Cross, Jonathan Michael	901611	Agent - Life
Denied	Cross, Jonathan Michael	901611	Agent - Property
Inactive	Cross, Royce M	334943	Agent - Casualty	2/13/2013	3/31/2019
Inactive	Cross, Royce M	334943	Agent - Property	2/13/2013	3/31/2019