DEPARTMENT OF INSURANCE
Affiliations
NameCrest Insurance Group LLCDOIID730185NAIC NPN15788573
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/11/2020 3/31/2026
ActiveNon ResidentAgentCasualty6/14/2010 3/31/2026
ActiveNon ResidentAgentHealth2/11/2020 3/31/2026
ActiveNon ResidentAgentProperty6/14/2010 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty6/17/2013 
ActiveACE American Insurance Company300625Agent - Property6/17/2013 
InactiveAccendo Insurance Company300312Agent - Health9/30/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life9/30/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health2/26/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/30/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health12/8/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/26/2020 
ActiveAll America Insurance Company300078Agent - Casualty4/25/2023 
ActiveAll America Insurance Company300078Agent - Property4/25/2023 
ActiveAllied Insurance Company of America793586Agent - Casualty2/2/2022 
ActiveAllied Insurance Company of America793586Agent - Property2/2/2022 
ActiveAllstate Indemnity Company300778Agent - Casualty4/23/2020 
ActiveAllstate Indemnity Company300778Agent - Property4/23/2020 
ActiveAllstate Insurance Company300773Agent - Casualty4/23/2020 
ActiveAllstate Insurance Company300773Agent - Property4/23/2020 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty4/23/2020 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property4/23/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty4/23/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property4/23/2020 
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty4/4/2017 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property4/4/2017 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty3/7/2016 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property3/7/2016 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
ActiveAmerican Family Home Insurance Company301817Agent - Casualty4/22/2020 
ActiveAmerican Family Home Insurance Company301817Agent - Property4/22/2020 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty8/27/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property8/27/20143/29/2024
DeniedArch Insurance Company300688Agent - Casualty  
DeniedArch Insurance Company300688Agent - Property  
ActiveAuto-Owners Insurance Company301480Agent - Casualty4/25/2024 
ActiveAuto-Owners Insurance Company301480Agent - Property4/25/2024 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty3/27/2024 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property3/27/2024 
ActiveBankers Standard Insurance Company301620Agent - Casualty6/17/2013 
ActiveBankers Standard Insurance Company301620Agent - Property6/17/2013 
ActiveCentral Insurance Company300965Agent - Casualty4/25/2023 
ActiveCentral Insurance Company300965Agent - Property4/25/2023 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/27/2024 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/27/2024 
ActiveCincinnati Casualty Company (The)300308Agent - Casualty7/28/2014 
ActiveCincinnati Casualty Company (The)300308Agent - Property7/28/2014 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty7/28/2014 
ActiveCincinnati Indemnity Company (The)301566Agent - Property7/28/2014 
ActiveCincinnati Insurance Company301298Agent - Casualty7/28/2014 
ActiveCincinnati Insurance Company301298Agent - Property7/28/2014 
InactiveConsolidated Insurance Company300943Agent - Casualty8/27/201410/13/2022
InactiveConsolidated Insurance Company300943Agent - Property8/27/201410/13/2022
ActiveContinental Casualty Company301019Agent - Casualty1/17/2017 
ActiveContinental Casualty Company301019Agent - Property1/17/2017 
InactiveContinental Insurance Company (The)301242Agent - Casualty5/30/201712/11/2017
InactiveContinental Insurance Company (The)301242Agent - Property5/30/201712/11/2017
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/30/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/30/2021 
ActiveCountry Mutual Insurance Company301024Agent - Casualty10/18/2018 
ActiveCountry Mutual Insurance Company301024Agent - Property10/18/2018 
ActiveCrestbrook Insurance Company805354Agent - Casualty3/21/2016 
ActiveCrestbrook Insurance Company805354Agent - Property3/21/2016 
InactiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/30/20246/17/2025
InactiveEmployers Assurance Company300120Agent - Casualty10/16/20131/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20181/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty10/16/20131/3/2024
InactiveEncompass Indemnity Company546376Agent - Casualty10/6/201410/3/2024
InactiveEncompass Indemnity Company546376Agent - Property10/6/201410/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty10/6/201412/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property10/6/201412/13/2018
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty10/22/20206/20/2023
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property10/22/20206/20/2023
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty10/22/20206/20/2023
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property10/22/20206/20/2023
ActiveFederal Insurance Company301144Agent - Casualty8/20/2012 
ActiveFederal Insurance Company301144Agent - Property8/20/2012 
ActiveHarleysville Insurance Company301462Agent - Casualty10/1/2019 
ActiveHarleysville Insurance Company301462Agent - Property10/1/2019 
InactiveIndiana Insurance Company301909Agent - Casualty8/27/20142/3/2023
InactiveIndiana Insurance Company301909Agent - Property8/27/20142/3/2023
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/2/2020 
ActiveLiberty Mutual Insurance Company301159Agent - Property3/2/2020 
ActiveNationwide Assurance Company300166Agent - Casualty1/12/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty1/12/2020 
ActiveNationwide General Insurance Company300603Agent - Property1/12/2020 
ActiveNationwide Insurance Company of America300333Agent - Casualty1/12/2020 
ActiveNationwide Insurance Company of America300333Agent - Property1/12/2020 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty8/25/2016 
ActiveNationwide Mutual Insurance Company301749Agent - Property8/25/2016 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty1/12/2020 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property1/12/2020 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty8/27/20145/8/2025
InactiveNetherlands Insurance Company (The)300339Agent - Property8/27/20145/8/2025
InactiveOhio Casualty Insurance Company301492Agent - Casualty8/27/20143/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property8/27/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty8/27/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Property8/27/20143/29/2024
ActiveOwners Insurance Company300796Agent - Casualty4/25/2024 
ActiveOwners Insurance Company300796Agent - Property4/25/2024 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty8/27/20149/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property8/27/20149/26/2024
InactivePeerless Insurance Company301910Agent - Casualty8/27/20145/8/2025
InactivePeerless Insurance Company301910Agent - Property8/27/20145/8/2025
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/5/2016 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/5/2016 
ActiveRLI Insurance Company301217Agent - Casualty6/29/2016 
ActiveRLI Insurance Company301217Agent - Property6/29/2016 
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/8/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property10/8/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/27/20143/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property8/27/20143/29/2024
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty12/5/2019 
ActiveSelective Insurance Company of the Southeast300381Agent - Property12/5/2019 
ActiveSilverScript Insurance Company663526Agent - Health2/26/2020 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty3/27/2024 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Property3/27/2024 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty4/27/2023 
ActiveStandard Fire Insurance Company (The)301068Agent - Property4/27/2023 
ActiveStarr Indemnity and Liability Company301685Agent - Casualty4/12/2021 
ActiveStarr Indemnity and Liability Company301685Agent - Health4/12/2021 
ActiveStarr Indemnity and Liability Company301685Agent - Property4/12/2021 
ActiveThe Phoenix Insurance Company301502Agent - Casualty3/27/2024 
ActiveThe Phoenix Insurance Company301502Agent - Property3/27/2024 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty3/27/2024 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property3/27/2024 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty3/27/2024 
ActiveTravelers Indemnity Company (The)301855Agent - Property3/27/2024 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty3/27/2024 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property3/27/2024 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/27/2024 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/27/2024 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty3/27/2024 
ActiveTravelers Property Casualty Company of America301649Agent - Property3/27/2024 
ActiveUnited Financial Casualty Company301886Agent - Casualty10/5/2016 
ActiveUnited Financial Casualty Company301886Agent - Property10/5/2016 
InactiveValley Forge Insurance Company301052Agent - Casualty3/7/201612/11/2017
InactiveValley Forge Insurance Company301052Agent - Property3/7/201612/11/2017
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health7/22/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health7/22/2022 
InactiveWest American Insurance Company301112Agent - Casualty8/27/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property8/27/20143/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCandy, Philip James 1135756Agent - Casualty4/10/2024 
ActiveCandy, Philip James 1135756Agent - Property4/10/2024 
ActiveCanlas, Ramon Castelo 1093027Agent - Casualty6/13/2025 
ActiveCanlas, Ramon Castelo 1093027Agent - Property6/13/2025 
ActiveDancel, Roseanne Linganay 997830Agent - Casualty5/16/2025 
ActiveDancel, Roseanne Linganay 997830Agent - Property5/16/2025 
ActiveMartinez, Robert 594594Agent - Casualty2/20/2020 
ActiveMartinez, Robert 594594Agent - Property2/20/2020 
ActiveMesenbrink, Michael James 894277Agent - Casualty8/6/2020 
ActiveMesenbrink, Michael James 894277Agent - Property8/6/2020 
InactivePetty, Jaymes David 961547Agent - Casualty6/7/20237/1/2025
InactivePetty, Jaymes David 961547Agent - Property6/7/20237/1/2025
ActiveRitchie, Cody Bruce 597178Agent - Casualty6/14/2010 
ActiveRitchie, Cody Bruce 597178Agent - Health2/11/2020 
ActiveRitchie, Cody Bruce 597178Agent - Life2/11/2020 
ActiveRitchie, Cody Bruce 597178Agent - Property6/14/2010 
ActiveRitchie, Nancy Irene 1372769Agent - Health12/10/2024 
InactiveWolma, Bryce Gerald 1337366Agent - Casualty5/10/20243/11/2025
InactiveWolma, Bryce Gerald 1337366Agent - Property5/10/20243/11/2025
InactiveWright, Jeffrey Hale 1083381Agent - Health6/2/20214/30/2022
InactiveWright, Jeffrey Hale 1083381Agent - Life6/2/20214/30/2022

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