DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Crystal Dawn	DOIID	1370510	NAIC NPN	16200358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/4/2024		3/31/2027
Active	Non Resident	Agent	Casualty	11/4/2024		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/19/2024
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/19/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/19/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Asurion Insurance Services Inc	509331	Agent - Casualty	11/22/2024
Active	Asurion Insurance Services Inc	509331	Agent - Property	11/22/2024