DEPARTMENT OF INSURANCE

Name	Crossroads Insurance Solutions LLC	DOIID	1346196	NAIC NPN	21167851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	6/19/2024		3/31/2026
Active	Non Resident	Agent	Life	6/19/2024		3/31/2026

*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	01/15/2026	03/31/2026

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	11628 Harvest Moon Drive Noblesville, IN 46060

Internet Information

Type	Address
Business Email	wardlisac85@gmail.com

Phone Information

Type	Phone
Business / Home Office	(317) 504-5768