DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crosby Sr, Shane Steven	DOIID	844284	NAIC NPN	8908323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/30/2014		9/30/2025
Active	Non Resident	Agent	Property	6/30/2014		9/30/2025
* 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 Modern Home Insurance Company	300791	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/17/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/17/2015	11/14/2021
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/11/2019
Active	American Zurich Insurance Company	300592	Agent - Property	9/11/2019
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/16/2014
Active	Bristol West Insurance Company	301655	Agent - Property	9/16/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/10/2014	7/26/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/10/2014	7/26/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/15/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/15/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/3/2021	11/3/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/3/2021	11/3/2021
Active	RLI Insurance Company	301217	Agent - Casualty	12/9/2014
Active	RLI Insurance Company	301217	Agent - Property	12/9/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Auto Club Services LLC	842632	Agent - Property	7/10/2014
Active	Auto Club Services LLC	842632	Agent - Casualty	7/10/2014