DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nielson, Crystal L	DOIID	875575	NAIC NPN	5460109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/21/2015		4/30/2026
Active	Non Resident	Agent	Health	4/21/2015		4/30/2026
Active	Non Resident	Agent	Life	4/21/2015		4/30/2026
Active	Non Resident	Agent	Property	4/21/2015		4/30/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	5/22/2020
Active	American Economy Insurance Company	300315	Agent - Property	5/22/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/23/2015	4/21/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/23/2015	4/21/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/22/2016	3/16/2021
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/22/2016	3/16/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/23/2015	8/28/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/23/2015	8/28/2019
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/12/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	8/12/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/22/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/22/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/22/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/22/2020
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/1/2022	11/4/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/1/2022	11/4/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/29/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Leavitt Group Agency Assn LLC	696306	Agent - Casualty	9/23/2015
Active	Leavitt Group Agency Assn LLC	696306	Agent - Property	9/23/2015