DEPARTMENT OF INSURANCE
Affiliations
NameCrystal Ibc LLCDOIID864482NAIC NPN17445769
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines12/30/2014 3/31/2026
ActiveNon ResidentAgentCasualty12/30/2014 3/31/2026
ActiveNon ResidentAgentProperty12/30/2014 3/31/2026
ActiveNon ResidentAgentLife6/24/2023 3/31/2026
ActiveNon ResidentAgentHealth6/24/2023 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable1/14/2015 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty8/23/20199/26/2022
InactiveACE American Insurance Company300625Agent - Property8/23/20199/26/2022
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty8/23/20199/26/2022
InactiveACE Property and Casualty Insurance Company300520Agent - Property8/23/20199/26/2022
ActiveAIG Property Casualty Company300621Agent - Casualty10/28/2015 
ActiveAIG Property Casualty Company300621Agent - Property10/28/2015 
ActiveAMCO Insurance Company300204Agent - Casualty5/3/2017 
ActiveAMCO Insurance Company300204Agent - Property5/3/2017 
ActiveAllied Insurance Company of America793586Agent - Casualty5/3/2017 
ActiveAllied Insurance Company of America793586Agent - Property5/3/2017 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty5/3/2017 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property5/3/2017 
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty1/11/2016 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property1/11/2016 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty5/15/20176/16/2022
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property5/15/20176/16/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/16/20177/3/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/16/20177/3/2019
InactiveAmerican General Life Insurance Company301585Agent - Health3/3/20163/10/2016
InactiveAmerican General Life Insurance Company301585Agent - Life3/3/20163/10/2016
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty6/3/20163/27/2019
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property6/3/20163/27/2019
ActiveAmerican Home Assurance Company300246Agent - Casualty12/18/2015 
ActiveAmerican Home Assurance Company300246Agent - Property12/18/2015 
InactiveAmerican Zurich Insurance Company300592Agent - Casualty6/3/20163/27/2019
InactiveAmerican Zurich Insurance Company300592Agent - Property6/3/20163/27/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/19/20167/17/2020
InactiveAnthem Life Insurance Company301209Agent - Health4/19/20167/17/2020
InactiveAnthem Life Insurance Company301209Agent - Life4/19/20167/17/2020
ActiveArch Indemnity Insurance Company301459Agent - Casualty11/11/2021 
ActiveArch Indemnity Insurance Company301459Agent - Property11/11/2021 
ActiveArch Insurance Company300688Agent - Casualty10/22/2015 
InactiveArch Insurance Company300688Agent - Health9/14/20172/19/2019
ActiveArch Insurance Company300688Agent - Property10/22/2015 
InactiveBankers Standard Insurance Company301620Agent - Casualty9/9/20219/26/2022
InactiveBankers Standard Insurance Company301620Agent - Property9/9/20219/26/2022
InactiveBanner Life Insurance Company301696Agent - Life11/2/20177/17/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Health3/1/20177/17/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Life3/1/20177/17/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/3/20165/14/2021
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/3/20165/14/2021
InactiveContinental Casualty Company301019Agent - Casualty5/17/20166/16/2022
InactiveContinental Casualty Company301019Agent - Property5/17/20166/16/2022
InactiveContinental Insurance Company (The)301242Agent - Casualty1/30/20176/16/2022
InactiveContinental Insurance Company (The)301242Agent - Property1/30/20176/16/2022
ActiveDepositors Insurance Company301634Agent - Casualty5/3/2017 
ActiveDepositors Insurance Company301634Agent - Property5/3/2017 
ActiveEndurance American Insurance Company724397Agent - Casualty1/18/2024 
ActiveEndurance American Insurance Company724397Agent - Property1/18/2024 
InactiveFederal Insurance Company301144Agent - Casualty9/28/20152/19/2019
InactiveFederal Insurance Company301144Agent - Property9/28/20152/19/2019
ActiveGranite State Insurance Company300818Agent - Casualty12/18/2015 
ActiveGranite State Insurance Company300818Agent - Property12/18/2015 
InactiveGreat Northern Insurance Company301107Agent - Casualty10/9/20152/19/2019
InactiveGreat Northern Insurance Company301107Agent - Property10/9/20152/19/2019
InactiveGuarantee Company of North America USA (The)300857Agent - Casualty8/18/201511/13/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health12/16/201512/19/2019
InactiveGuardian Life Insurance Company of America301316Agent - Life12/16/201512/19/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Health6/22/20163/12/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life6/22/20163/12/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/7/20176/15/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/7/20172/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health1/7/20176/15/2018
InactiveHumana Insurance Company301104Agent - Health11/2/20181/29/2019
InactiveHumana Insurance Company301104Agent - Life11/2/20181/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/2/20181/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/2/20181/29/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health1/7/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/7/20176/15/2018
ActiveIllinois National Insurance Company301367Agent - Casualty12/18/2015 
ActiveIllinois National Insurance Company301367Agent - Property12/18/2015 
InactiveIndemnity Insurance Company of North America301760Agent - Casualty8/23/20199/26/2022
InactiveIndemnity Insurance Company of North America301760Agent - Property8/23/20199/26/2022
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty12/18/2015 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property12/18/2015 
InactiveKanawha Insurance Company300127Agent - Health1/7/201712/8/2017
InactiveKanawha Insurance Company300127Agent - Life1/7/201712/8/2017
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty10/20/2016 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property10/20/2016 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty10/20/2016 
ActiveLiberty Mutual Insurance Company301159Agent - Property10/20/2016 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty2/21/2017 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property2/21/2017 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty2/21/2017 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property2/21/2017 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty1/8/20186/16/2022
InactiveNational Fire Insurance Company of Hartford301063Agent - Property1/8/20186/16/2022
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty12/18/2015 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property12/18/2015 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty5/3/2017 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property5/3/2017 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty8/28/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/28/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/3/2017 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/3/2017 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
ActiveNew Hampshire Insurance Company301670Agent - Casualty12/18/2015 
ActiveNew Hampshire Insurance Company301670Agent - Property12/18/2015 
InactiveOld Republic Insurance Company301225Agent - Casualty10/2/201511/10/2023
InactiveOld Republic Insurance Company301225Agent - Property10/2/201511/10/2023
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Personal Lines7/9/2017 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty11/23/20156/8/2021
InactiveProgressive Casualty Insurance Company300696Agent - Property11/23/20156/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/9/20151/29/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/9/20151/29/2019
ActiveQBE Insurance Corporation300515Agent - Casualty7/8/2016 
ActiveQBE Insurance Corporation300515Agent - Property7/8/2016 
InactiveReliance Standard Life Insurance Company300584Agent - Health8/1/20167/17/2020
InactiveReliance Standard Life Insurance Company300584Agent - Life8/1/20167/17/2020
InactiveSeneca Insurance Company Inc.301762Agent - Casualty4/16/202110/24/2022
InactiveSeneca Insurance Company Inc.301762Agent - Property4/16/202110/24/2022
InactiveStandard Insurance Company300185Agent - Health11/18/20167/17/2020
InactiveStandard Insurance Company300185Agent - Life11/18/20167/17/2020
InactiveTravelers Casualty and Surety Company301067Agent - Casualty3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company301067Agent - Property3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Property3/3/20165/14/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/3/20165/14/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/3/20165/14/2021
InactiveUNUM Life Insurance Company of America300817Agent - Health10/9/20151/29/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life10/9/20151/29/2019
InactiveUnited Financial Casualty Company301886Agent - Casualty11/23/20156/8/2021
InactiveUnited Financial Casualty Company301886Agent - Property11/23/20156/8/2021
InactiveUnited States Fire Insurance Company582240Agent - Casualty1/16/201810/26/2022
InactiveUnited States Fire Insurance Company582240Agent - Health1/16/20187/17/2020
InactiveUnited States Fire Insurance Company582240Agent - Property1/16/201810/26/2022
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/3/20163/10/2016
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/3/20163/10/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/10/20166/1/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/10/20166/1/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/10/20166/1/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/10/20164/30/2018
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/20166/16/2022
InactiveValley Forge Insurance Company301052Agent - Property8/15/20166/16/2022
InactiveVigilant Insurance Company301143Agent - Casualty10/9/20152/19/2019
InactiveVigilant Insurance Company301143Agent - Property10/9/20152/19/2019
InactiveWestchester Fire Insurance Company300990Agent - Casualty8/23/20199/26/2022
InactiveWestchester Fire Insurance Company300990Agent - Property8/23/20199/26/2022
ActiveWestern Surety Company300283Agent - Casualty12/9/2015 
ActiveXL Specialty Insurance Company301605Agent - Casualty3/29/2017 
ActiveXL Specialty Insurance Company301605Agent - Property3/29/2017 
InactiveZurich American Insurance Company301121Agent - Casualty6/3/20163/27/2019
InactiveZurich American Insurance Company301121Agent - Property6/3/20163/27/2019
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty6/3/20163/27/2019
InactiveZurich American Insurance Company of Illinois301805Agent - Property6/3/20163/27/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBabcock, Carol 834310Agent - Casualty6/1/2023 
ActiveBabcock, Carol 834310Agent - Property6/1/2023 
ActiveBennetsen, Robert E 848159Agent - Health6/24/2023 
ActiveBennetsen, Robert E 848159Agent - Life6/24/2023 
DeniedBoland, John P 1210230Agent - Casualty  
DeniedBoland, John P 1210230Agent - Property  
DeniedBostwick, George H 1233587Agent - Casualty  
DeniedBostwick, George H 1233587Agent - Property  
DeniedBourn, Linda L 1243746Agent - Casualty  
DeniedBourn, Linda L 1243746Agent - Life  
DeniedBourn, Linda L 1243746Agent - Property  
DeniedBranstetter, Julie Ann 1237982Agent - Casualty  
DeniedBranstetter, Julie Ann 1237982Agent - Property  
DeniedBrunner, Somtip 1109531Agent - Personal Lines  
DeniedChernyshev, Vitaly 1172703Agent - Casualty  
DeniedChernyshev, Vitaly 1172703Agent - Property  
ActiveCrystal, James F 605281Agent - Casualty12/30/2014 
ActiveCrystal, James F 605281Agent - Personal Lines12/30/2014 
ActiveCrystal, James F 605281Agent - Property12/30/2014 
DeniedCrystal, James W 380369Agent - Casualty  
DeniedCrystal, James W 380369Agent - Life  
DeniedCrystal, James W 380369Agent - Property  
InactiveCrystal, Jonathan F 561732Agent - Casualty12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Health12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Life12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Property12/30/20147/17/2020
ActiveCrystal, Sanford Finesilver 546629Agent - Casualty12/30/2014 
ActiveCrystal, Sanford Finesilver 546629Agent - Property12/30/2014 
ActiveCrystal, Sanford Finesilver 546629Surplus Lines Broker - Not Applicable1/14/2015 
DeniedDavis Jr, Robert B 1241894Agent - Casualty  
DeniedDavis Jr, Robert B 1241894Agent - Health  
DeniedDavis Jr, Robert B 1241894Agent - Life  
DeniedDavis Jr, Robert B 1241894Agent - Property  
ActiveDepaul, Caroline 777207Agent - Casualty6/1/2023 
ActiveDepaul, Caroline 777207Agent - Property6/1/2023 
DeniedGalati, Wendy M 1277516Agent - Casualty  
DeniedGalati, Wendy M 1277516Agent - Health  
DeniedGalati, Wendy M 1277516Agent - Life  
DeniedGalati, Wendy M 1277516Agent - Property  
DeniedGlenn, Adam James 1230359Agent - Casualty  
DeniedGlenn, Adam James 1230359Agent - Health  
DeniedGlenn, Adam James 1230359Agent - Life  
DeniedGlenn, Adam James 1230359Agent - Property  
DeniedGordon, Jamie 1197219Agent - Casualty  
DeniedGordon, Jamie 1197219Agent - Health  
DeniedGordon, Jamie 1197219Agent - Life  
DeniedGordon, Jamie 1197219Agent - Property  
InactiveGrant, Michael S 622204Agent - Health12/23/20157/17/2020
InactiveGrant, Michael S 622204Agent - Life12/23/20157/17/2020
DeniedHarrington, Francis X 1248767Agent - Casualty  
DeniedHarrington, Francis X 1248767Agent - Property  
ActiveHenningsgard, Jon Reagan 509174Agent - Casualty9/7/2023 
DeniedHenningsgard, Jon Reagan 509174Agent - Health  
DeniedHenningsgard, Jon Reagan 509174Agent - Life  
ActiveHenningsgard, Jon Reagan 509174Agent - Property9/7/2023 
ActiveJohns, Robert Steven 580434Agent - Casualty12/1/2022 
ActiveJohns, Robert Steven 580434Agent - Property12/1/2022 
DeniedKu, Rosy Yong Ae 1232849Agent - Casualty  
DeniedKu, Rosy Yong Ae 1232849Agent - Property  
DeniedMccabe, Marc A 1232524Agent - Casualty  
DeniedMccabe, Marc A 1232524Agent - Property  
DeniedMorgan, Thomas 1242162Agent - Casualty  
DeniedMorgan, Thomas 1242162Agent - Property  
ActiveNelson, Edwin 741722Agent - Casualty9/7/2023 
ActiveNelson, Edwin 741722Agent - Property9/7/2023 
ActiveNorick, Joseph Howard 707168Agent - Casualty9/7/2023 
ActiveNorick, Joseph Howard 707168Agent - Property9/7/2023 
DeniedPerez, Alexander Sean 1245453Agent - Casualty  
DeniedPerez, Alexander Sean 1245453Agent - Health  
DeniedPerez, Alexander Sean 1245453Agent - Property  
DeniedScott, Jason Edward 1210231Agent - Casualty  
DeniedScott, Jason Edward 1210231Agent - Health  
DeniedScott, Jason Edward 1210231Agent - Life  
DeniedScott, Jason Edward 1210231Agent - Property  
DeniedStrandberg, Robert Salant 1254091Agent - Casualty  
DeniedStrandberg, Robert Salant 1254091Agent - Health  
DeniedStrandberg, Robert Salant 1254091Agent - Life  
DeniedStrandberg, Robert Salant 1254091Agent - Property  
DeniedTimpanaro, Jessica 1267094Agent - Casualty  
DeniedTimpanaro, Jessica 1267094Agent - Property  
ActiveTimpanaro, Louis M 649001Surplus Lines Broker - Not Applicable5/9/2024 

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