DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crooks, David M	DOIID	832548	NAIC NPN	1587141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/29/2014	9/30/2023
Inactive	Non Resident	Agent	Casualty	1/29/2014	9/30/2023
* 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	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/19/2014	9/30/2023
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	4/1/2019	9/30/2023
Inactive	Great Midwest Insurance Company	301418	Agent - Property	4/1/2019	9/30/2023
Inactive	Imperium Insurance Company	300804	Agent - Casualty	4/1/2019	9/30/2023
Inactive	Imperium Insurance Company	300804	Agent - Property	4/1/2019	9/30/2023
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/19/2014	9/30/2023
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/19/2014	9/30/2023
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/19/2014	9/30/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/28/2014	7/31/2019
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/28/2014	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Risk Services Central, Inc	502106	Agent - Property	5/12/2014	9/30/2023
Inactive	Aon Risk Services Central, Inc	502106	Agent - Casualty	5/12/2014	9/30/2023