DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crist, Jennifer Michele	DOIID	929080	NAIC NPN	8381088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/13/2016		8/31/2024
Active	Non Resident	Agent	Health	9/13/2016		8/31/2024
Active	Non Resident	Agent	Life	9/13/2016		8/31/2024
Active	Non Resident	Agent	Travel	9/13/2016		8/31/2024
Active	Non Resident	Agent	Casualty	9/13/2016		8/31/2024
Active	Non Resident	Independent Adjuster	Workers' Compensation	10/10/2018		8/31/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	10/10/2018		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024
Independent Adjuster	06/15/2024	08/31/2024

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	9/29/2016	3/17/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/29/2016	3/17/2020
Inactive	Arch Insurance Company	300688	Agent - Travel	12/15/2016	7/31/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Travel	9/19/2019
Active	United States Fire Insurance Company	582240	Agent - Travel	9/26/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Co-Ordinated Benefit Plans Llc	397781	Agent - Health
Denied	Co-Ordinated Benefit Plans Llc	397781	Agent - Life
Inactive	Co-Ordinated Benefit Plans Llc	397781	Agent - Property	4/26/2017	3/17/2020
Inactive	Co-Ordinated Benefit Plans Llc	397781	Agent - Casualty	4/26/2017	3/17/2020
Inactive	Trip Mate, Inc	397551	Agent - Health	9/30/2016	2/24/2017
Inactive	Trip Mate, Inc	397551	Agent - Life	9/30/2016	2/24/2017
Inactive	Trip Mate, Inc	397551	Agent - Property	9/29/2016	2/24/2017
Inactive	Trip Mate, Inc	397551	Agent - Travel	9/30/2016	2/24/2017
Inactive	Trip Mate, Inc	397551	Agent - Casualty	9/29/2016	2/24/2017