DEPARTMENT OF INSURANCE

Affiliations

Name	Crosby Sr, Shane Steven	DOIID	844284	NAIC NPN	8908323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/30/2014	9/30/2025
Active	Non Resident	Agent	Property	6/30/2014	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/17/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/17/2015	11/14/2021
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/11/2019
Active	American Zurich Insurance Company	300592	Agent - Property	9/11/2019
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/16/2014
Active	Bristol West Insurance Company	301655	Agent - Property	9/16/2014
Active	Dairyland Insurance Company	301370	Agent - Casualty	3/10/2025
Active	Dairyland Insurance Company	301370	Agent - Property	3/10/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/15/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/15/2014
Active	Integon Indemnity Corporation	300674	Agent - Casualty	11/27/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	11/27/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/3/2021	11/3/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/3/2021	11/3/2021
Active	RLI Insurance Company	301217	Agent - Casualty	12/9/2014
Active	RLI Insurance Company	301217	Agent - Property	12/9/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Auto Club Services LLC	842632	Agent - Property	7/10/2014
Active	Auto Club Services LLC	842632	Agent - Casualty	7/10/2014