DEPARTMENT OF INSURANCE

Affiliations

Name	Crest Insurance Group LLC	DOIID	730185	NAIC NPN	15788573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/14/2010	3/31/2026
Active	Non Resident	Agent	Health	2/11/2020	3/31/2026
Active	Non Resident	Agent	Property	6/14/2010	3/31/2026
Active	Non Resident	Agent	Life	2/11/2020	3/31/2026
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/17/2013
Active	ACE American Insurance Company	300625	Agent - Property	6/17/2013
Inactive	Accendo Insurance Company	300312	Agent - Health	9/30/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/30/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/26/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/8/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/26/2020
Active	All America Insurance Company	300078	Agent - Casualty	4/25/2023
Active	All America Insurance Company	300078	Agent - Property	4/25/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Active	Allstate Indemnity Company	300778	Agent - Casualty	4/23/2020
Active	Allstate Indemnity Company	300778	Agent - Property	4/23/2020
Active	Allstate Insurance Company	300773	Agent - Casualty	4/23/2020
Active	Allstate Insurance Company	300773	Agent - Property	4/23/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/23/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/23/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	4/23/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	4/23/2020
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	4/4/2017
Active	American Alternative Insurance Corporation	301697	Agent - Property	4/4/2017
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	3/7/2016
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	3/7/2016
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	4/22/2020
Active	American Family Home Insurance Company	301817	Agent - Property	4/22/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/27/2014	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/27/2014	3/29/2024
Pending	Arch Insurance Company	300688	Agent - Casualty
Pending	Arch Insurance Company	300688	Agent - Property
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	4/25/2024
Active	Auto-Owners Insurance Company	301480	Agent - Property	4/25/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/27/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/27/2024
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/17/2013
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/17/2013
Active	Central Insurance Company	300965	Agent - Casualty	4/25/2023
Active	Central Insurance Company	300965	Agent - Property	4/25/2023
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/27/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/27/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	7/28/2014
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	7/28/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	7/28/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	7/28/2014
Active	Cincinnati Insurance Company	301298	Agent - Casualty	7/28/2014
Active	Cincinnati Insurance Company	301298	Agent - Property	7/28/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/27/2014	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/27/2014	10/13/2022
Active	Continental Casualty Company	301019	Agent - Casualty	1/17/2017
Active	Continental Casualty Company	301019	Agent - Property	1/17/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	5/30/2017	12/11/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Property	5/30/2017	12/11/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/30/2021
Active	Country Mutual Insurance Company	301024	Agent - Casualty	10/18/2018
Active	Country Mutual Insurance Company	301024	Agent - Property	10/18/2018
Active	Crestbrook Insurance Company	805354	Agent - Casualty	3/21/2016
Active	Crestbrook Insurance Company	805354	Agent - Property	3/21/2016
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/30/2024
Inactive	Employers Assurance Company	300120	Agent - Casualty	10/16/2013	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	10/16/2013	1/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/6/2014	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/6/2014	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/6/2014	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/6/2014	12/13/2018
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/22/2020	6/20/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/22/2020	6/20/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/22/2020	6/20/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/22/2020	6/20/2023
Active	Federal Insurance Company	301144	Agent - Casualty	8/20/2012
Active	Federal Insurance Company	301144	Agent - Property	8/20/2012
Active	Harleysville Insurance Company	301462	Agent - Casualty	10/1/2019
Active	Harleysville Insurance Company	301462	Agent - Property	10/1/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/27/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/27/2014	2/3/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/2/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/2/2020
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	1/12/2020
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	1/12/2020
Active	Nationwide Insurance Company of America	300333	Agent - Property	1/12/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/27/2014	5/8/2025
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/27/2014	5/8/2025
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/27/2014	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/27/2014	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/27/2014	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/27/2014	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	4/25/2024
Active	Owners Insurance Company	300796	Agent - Property	4/25/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/27/2014	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/27/2014	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/27/2014	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	8/27/2014	5/8/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/5/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/5/2016
Active	RLI Insurance Company	301217	Agent - Casualty	6/29/2016
Active	RLI Insurance Company	301217	Agent - Property	6/29/2016
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/8/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/8/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/27/2014	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/27/2014	3/29/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	12/5/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	12/5/2019
Active	SilverScript Insurance Company	663526	Agent - Health	2/26/2020
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	3/27/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	3/27/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/27/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/27/2023
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	4/12/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Health	4/12/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Property	4/12/2021
Active	The Phoenix Insurance Company	301502	Agent - Casualty	3/27/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	3/27/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/27/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/27/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/27/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	3/27/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/27/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/27/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/27/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/27/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/27/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	3/27/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	10/5/2016
Active	United Financial Casualty Company	301886	Agent - Property	10/5/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	3/7/2016	12/11/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Property	3/7/2016	12/11/2017
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/22/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/22/2022
Inactive	West American Insurance Company	301112	Agent - Casualty	8/27/2014	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	8/27/2014	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Candy, Philip James	1135756	Agent - Casualty	4/10/2024
Active	Candy, Philip James	1135756	Agent - Property	4/10/2024
Active	Martinez, Robert	594594	Agent - Casualty	2/20/2020
Active	Martinez, Robert	594594	Agent - Property	2/20/2020
Active	Mesenbrink, Michael James	894277	Agent - Casualty	8/6/2020
Active	Mesenbrink, Michael James	894277	Agent - Property	8/6/2020
Active	Petty, Jaymes David	961547	Agent - Casualty	6/7/2023
Active	Petty, Jaymes David	961547	Agent - Property	6/7/2023
Active	Ritchie, Cody Bruce	597178	Agent - Casualty	6/14/2010
Active	Ritchie, Cody Bruce	597178	Agent - Health	2/11/2020
Active	Ritchie, Cody Bruce	597178	Agent - Life	2/11/2020
Active	Ritchie, Cody Bruce	597178	Agent - Property	6/14/2010
Active	Ritchie, Nancy Irene	1372769	Agent - Health	12/10/2024
Inactive	Wolma, Bryce Gerald	1337366	Agent - Casualty	5/10/2024	3/11/2025
Inactive	Wolma, Bryce Gerald	1337366	Agent - Property	5/10/2024	3/11/2025
Inactive	Wright, Jeffrey Hale	1083381	Agent - Health	6/2/2021	4/30/2022
Inactive	Wright, Jeffrey Hale	1083381	Agent - Life	6/2/2021	4/30/2022