DEPARTMENT OF INSURANCE

Name	Crossland, Frank Thomas	DOIID	337740	NAIC NPN	521831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/29/2008		5/31/2026
Active	Non Resident	Agent	Health	10/29/2008		5/31/2026
Inactive	Non Resident	Life & Health Consultant	Not Applicable	10/29/2008	10/29/2008

*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	03/15/2024	05/31/2024	04/08/2024	04/08/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	9225 Priority Way West Drive #100 Indianapolis, IN 46240
Residence	Not Public Information

Internet Information

Type	Address
Business Email	frank_crossland@mjinsurance.com

Phone Information

Type	Phone
Business / Home Office	(317) 805-7500