DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roseth, Crystal	DOIID	805345	NAIC NPN	16482901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/8/2013	8/31/2015
Inactive	Non Resident	Agent	Casualty	3/8/2013	8/31/2015
* 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	Encompass Indemnity Company	546376	Agent - Casualty	7/18/2013	1/24/2014
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/18/2013	1/24/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/18/2013	1/24/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/18/2013	1/24/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	7/31/2013	12/31/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	7/31/2013	12/31/2013