DEPARTMENT OF INSURANCE
Affiliations
NameCrystal Ibc LLCDOIID864482NAIC NPN17445769
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines12/30/2014 3/31/2026
ActiveNon ResidentAgentCasualty12/30/2014 3/31/2026
ActiveNon ResidentAgentProperty12/30/2014 3/31/2026
ActiveNon ResidentAgentLife6/24/2023 3/31/2026
ActiveNon ResidentAgentHealth6/24/2023 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable1/14/2015 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   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty8/23/20199/26/2022
InactiveACE American Insurance Company300625Agent - Property8/23/20199/26/2022
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty8/23/20199/26/2022
InactiveACE Property and Casualty Insurance Company300520Agent - Property8/23/20199/26/2022
InactiveAIG Property Casualty Company300621Agent - Casualty10/28/20152/19/2025
InactiveAIG Property Casualty Company300621Agent - Property10/28/20152/19/2025
InactiveAMCO Insurance Company300204Agent - Casualty5/3/20174/3/2025
InactiveAMCO Insurance Company300204Agent - Property5/3/20174/3/2025
InactiveAllied Insurance Company of America793586Agent - Casualty5/3/20174/3/2025
InactiveAllied Insurance Company of America793586Agent - Property5/3/20174/3/2025
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty5/3/20174/3/2025
InactiveAllied Property and Casualty Insurance Company300279Agent - Property5/3/20174/3/2025
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty1/11/2016 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property1/11/2016 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty5/15/20176/16/2022
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property5/15/20176/16/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/16/20177/3/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/16/20177/3/2019
InactiveAmerican General Life Insurance Company301585Agent - Health3/3/20163/10/2016
InactiveAmerican General Life Insurance Company301585Agent - Life3/3/20163/10/2016
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty6/3/20163/27/2019
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property6/3/20163/27/2019
InactiveAmerican Home Assurance Company300246Agent - Casualty12/18/20152/19/2025
InactiveAmerican Home Assurance Company300246Agent - Property12/18/20152/19/2025
InactiveAmerican Zurich Insurance Company300592Agent - Casualty6/3/20163/27/2019
InactiveAmerican Zurich Insurance Company300592Agent - Property6/3/20163/27/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/19/20167/17/2020
InactiveAnthem Life Insurance Company301209Agent - Health4/19/20167/17/2020
InactiveAnthem Life Insurance Company301209Agent - Life4/19/20167/17/2020
InactiveArch Indemnity Insurance Company301459Agent - Casualty11/11/202111/22/2024
InactiveArch Indemnity Insurance Company301459Agent - Property11/11/202111/22/2024
InactiveArch Insurance Company300688Agent - Casualty10/22/201511/22/2024
InactiveArch Insurance Company300688Agent - Health9/14/20172/19/2019
InactiveArch Insurance Company300688Agent - Property10/22/201511/22/2024
InactiveBankers Standard Insurance Company301620Agent - Casualty9/9/20219/26/2022
InactiveBankers Standard Insurance Company301620Agent - Property9/9/20219/26/2022
InactiveBanner Life Insurance Company301696Agent - Life11/2/20177/17/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Health3/1/20177/17/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Life3/1/20177/17/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/3/20165/14/2021
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/3/20165/14/2021
InactiveContinental Casualty Company301019Agent - Casualty5/17/20166/16/2022
InactiveContinental Casualty Company301019Agent - Property5/17/20166/16/2022
InactiveContinental Insurance Company (The)301242Agent - Casualty1/30/20176/16/2022
InactiveContinental Insurance Company (The)301242Agent - Property1/30/20176/16/2022
InactiveDepositors Insurance Company301634Agent - Casualty5/3/20174/3/2025
InactiveDepositors Insurance Company301634Agent - Property5/3/20174/3/2025
InactiveEndurance American Insurance Company724397Agent - Casualty1/18/202410/10/2024
InactiveEndurance American Insurance Company724397Agent - Property1/18/202410/10/2024
InactiveFederal Insurance Company301144Agent - Casualty9/28/20152/19/2019
InactiveFederal Insurance Company301144Agent - Property9/28/20152/19/2019
InactiveGranite State Insurance Company300818Agent - Casualty12/18/20152/19/2025
InactiveGranite State Insurance Company300818Agent - Property12/18/20152/19/2025
InactiveGreat Northern Insurance Company301107Agent - Casualty10/9/20152/19/2019
InactiveGreat Northern Insurance Company301107Agent - Property10/9/20152/19/2019
InactiveGuarantee Company of North America USA (The)300857Agent - Casualty8/18/201511/13/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health12/16/201512/19/2019
InactiveGuardian Life Insurance Company of America301316Agent - Life12/16/201512/19/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Health6/22/20163/12/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life6/22/20163/12/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/7/20176/15/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/7/20172/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health1/7/20176/15/2018
InactiveHumana Insurance Company301104Agent - Health11/2/20181/29/2019
InactiveHumana Insurance Company301104Agent - Life11/2/20181/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/2/20181/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/2/20181/29/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health1/7/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/7/20176/15/2018
InactiveIllinois National Insurance Company301367Agent - Casualty12/18/20152/19/2025
InactiveIllinois National Insurance Company301367Agent - Property12/18/20152/19/2025
InactiveIndemnity Insurance Company of North America301760Agent - Casualty8/23/20199/26/2022
InactiveIndemnity Insurance Company of North America301760Agent - Property8/23/20199/26/2022
InactiveInsurance Company of the State of Pennsylvania300807Agent - Casualty12/18/20152/19/2025
InactiveInsurance Company of the State of Pennsylvania300807Agent - Property12/18/20152/19/2025
InactiveKanawha Insurance Company300127Agent - Health1/7/201712/8/2017
InactiveKanawha Insurance Company300127Agent - Life1/7/201712/8/2017
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty10/20/2016 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property10/20/2016 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty10/20/2016 
ActiveLiberty Mutual Insurance Company301159Agent - Property10/20/2016 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty2/21/2017 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property2/21/2017 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty2/21/2017 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property2/21/2017 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty1/8/20186/16/2022
InactiveNational Fire Insurance Company of Hartford301063Agent - Property1/8/20186/16/2022
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty12/18/20152/19/2025
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property12/18/20152/19/2025
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty5/3/20174/3/2025
InactiveNationwide Agribusiness Insurance Company301008Agent - Property5/3/20174/3/2025
InactiveNationwide Assurance Company300166Agent - Casualty3/4/20204/3/2025
InactiveNationwide General Insurance Company300603Agent - Casualty8/28/20194/3/2025
InactiveNationwide General Insurance Company300603Agent - Property8/28/20194/3/2025
InactiveNationwide Insurance Company of America300333Agent - Casualty8/28/20194/3/2025
InactiveNationwide Insurance Company of America300333Agent - Property8/28/20194/3/2025
InactiveNationwide Mutual Insurance Company301749Agent - Casualty5/3/20174/3/2025
InactiveNationwide Mutual Insurance Company301749Agent - Property5/3/20174/3/2025
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/20224/3/2025
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/20224/3/2025
InactiveNew Hampshire Insurance Company301670Agent - Casualty12/18/20152/19/2025
InactiveNew Hampshire Insurance Company301670Agent - Property12/18/20152/19/2025
InactiveOld Republic Insurance Company301225Agent - Casualty10/2/201511/10/2023
InactiveOld Republic Insurance Company301225Agent - Property10/2/201511/10/2023
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Personal Lines7/9/2017 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty11/23/20156/8/2021
InactiveProgressive Casualty Insurance Company300696Agent - Property11/23/20156/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/9/20151/29/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/9/20151/29/2019
ActiveQBE Insurance Corporation300515Agent - Casualty7/8/2016 
ActiveQBE Insurance Corporation300515Agent - Property7/8/2016 
InactiveReliance Standard Life Insurance Company300584Agent - Health8/1/20167/17/2020
InactiveReliance Standard Life Insurance Company300584Agent - Life8/1/20167/17/2020
InactiveSeneca Insurance Company Inc.301762Agent - Casualty4/16/202110/24/2022
InactiveSeneca Insurance Company Inc.301762Agent - Property4/16/202110/24/2022
InactiveStandard Insurance Company300185Agent - Health11/18/20167/17/2020
InactiveStandard Insurance Company300185Agent - Life11/18/20167/17/2020
InactiveTravelers Casualty and Surety Company301067Agent - Casualty3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company301067Agent - Property3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/3/20165/14/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Property3/3/20165/14/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/3/20165/14/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/3/20165/14/2021
InactiveUNUM Life Insurance Company of America300817Agent - Health10/9/20151/29/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life10/9/20151/29/2019
InactiveUnited Financial Casualty Company301886Agent - Casualty11/23/20156/8/2021
InactiveUnited Financial Casualty Company301886Agent - Property11/23/20156/8/2021
InactiveUnited States Fire Insurance Company582240Agent - Casualty1/16/201810/26/2022
InactiveUnited States Fire Insurance Company582240Agent - Health1/16/20187/17/2020
InactiveUnited States Fire Insurance Company582240Agent - Property1/16/201810/26/2022
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/3/20163/10/2016
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/3/20163/10/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/10/20166/1/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/10/20166/1/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/10/20166/1/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/10/20164/30/2018
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/20166/16/2022
InactiveValley Forge Insurance Company301052Agent - Property8/15/20166/16/2022
InactiveVigilant Insurance Company301143Agent - Casualty10/9/20152/19/2019
InactiveVigilant Insurance Company301143Agent - Property10/9/20152/19/2019
InactiveWestchester Fire Insurance Company300990Agent - Casualty8/23/20199/26/2022
InactiveWestchester Fire Insurance Company300990Agent - Property8/23/20199/26/2022
ActiveWestern Surety Company300283Agent - Casualty12/9/2015 
ActiveXL Specialty Insurance Company301605Agent - Casualty3/29/2017 
ActiveXL Specialty Insurance Company301605Agent - Property3/29/2017 
InactiveZurich American Insurance Company301121Agent - Casualty6/3/20163/27/2019
InactiveZurich American Insurance Company301121Agent - Property6/3/20163/27/2019
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty6/3/20163/27/2019
InactiveZurich American Insurance Company of Illinois301805Agent - Property6/3/20163/27/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBabcock, Carol 834310Agent - Casualty6/1/2023 
ActiveBabcock, Carol 834310Agent - Property6/1/2023 
ActiveBennetsen, Robert E 848159Agent - Health6/24/2023 
ActiveBennetsen, Robert E 848159Agent - Life6/24/2023 
DeniedBoland, John P 1210230Agent - Casualty  
DeniedBoland, John P 1210230Agent - Property  
DeniedBostwick, George H 1233587Agent - Casualty  
DeniedBostwick, George H 1233587Agent - Property  
DeniedBourn, Linda L 1243746Agent - Casualty  
DeniedBourn, Linda L 1243746Agent - Life  
DeniedBourn, Linda L 1243746Agent - Property  
DeniedBranstetter, Julie Ann 1237982Agent - Casualty  
DeniedBranstetter, Julie Ann 1237982Agent - Property  
DeniedBrunner, Somtip 1109531Agent - Personal Lines  
DeniedChernyshev, Vitaly 1172703Agent - Casualty  
DeniedChernyshev, Vitaly 1172703Agent - Property  
ActiveCrystal, James F 605281Agent - Casualty12/30/2014 
ActiveCrystal, James F 605281Agent - Personal Lines12/30/2014 
ActiveCrystal, James F 605281Agent - Property12/30/2014 
DeniedCrystal, James W 380369Agent - Casualty  
DeniedCrystal, James W 380369Agent - Life  
DeniedCrystal, James W 380369Agent - Property  
InactiveCrystal, Jonathan F 561732Agent - Casualty12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Health12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Life12/30/20147/17/2020
InactiveCrystal, Jonathan F 561732Agent - Property12/30/20147/17/2020
ActiveCrystal, Sanford Finesilver 546629Agent - Casualty12/30/2014 
ActiveCrystal, Sanford Finesilver 546629Agent - Property12/30/2014 
ActiveCrystal, Sanford Finesilver 546629Surplus Lines Broker - Not Applicable1/14/2015 
DeniedDavis Jr, Robert B 1241894Agent - Casualty  
DeniedDavis Jr, Robert B 1241894Agent - Health  
DeniedDavis Jr, Robert B 1241894Agent - Life  
DeniedDavis Jr, Robert B 1241894Agent - Property  
ActiveDepaul, Caroline 777207Agent - Casualty6/1/2023 
ActiveDepaul, Caroline 777207Agent - Property6/1/2023 
DeniedGalati, Wendy M 1277516Agent - Casualty  
DeniedGalati, Wendy M 1277516Agent - Health  
DeniedGalati, Wendy M 1277516Agent - Life  
DeniedGalati, Wendy M 1277516Agent - Property  
DeniedGlenn, Adam James 1230359Agent - Casualty  
DeniedGlenn, Adam James 1230359Agent - Health  
DeniedGlenn, Adam James 1230359Agent - Life  
DeniedGlenn, Adam James 1230359Agent - Property  
DeniedGordon, Jamie 1197219Agent - Casualty  
DeniedGordon, Jamie 1197219Agent - Health  
DeniedGordon, Jamie 1197219Agent - Life  
DeniedGordon, Jamie 1197219Agent - Property  
InactiveGrant, Michael S 622204Agent - Health12/23/20157/17/2020
InactiveGrant, Michael S 622204Agent - Life12/23/20157/17/2020
DeniedHarrington, Francis X 1248767Agent - Casualty  
DeniedHarrington, Francis X 1248767Agent - Property  
ActiveHenningsgard, Jon Reagan 509174Agent - Casualty9/7/2023 
DeniedHenningsgard, Jon Reagan 509174Agent - Health  
DeniedHenningsgard, Jon Reagan 509174Agent - Life  
ActiveHenningsgard, Jon Reagan 509174Agent - Property9/7/2023 
ActiveJohns, Robert Steven 580434Agent - Casualty12/1/2022 
ActiveJohns, Robert Steven 580434Agent - Property12/1/2022 
DeniedKu, Rosy Yong Ae 1232849Agent - Casualty  
DeniedKu, Rosy Yong Ae 1232849Agent - Property  
DeniedMccabe, Marc A 1232524Agent - Casualty  
DeniedMccabe, Marc A 1232524Agent - Property  
DeniedMorgan, Thomas 1242162Agent - Casualty  
DeniedMorgan, Thomas 1242162Agent - Property  
ActiveNelson, Edwin 741722Agent - Casualty9/7/2023 
ActiveNelson, Edwin 741722Agent - Property9/7/2023 
ActiveNorick, Joseph Howard 707168Agent - Casualty9/7/2023 
ActiveNorick, Joseph Howard 707168Agent - Property9/7/2023 
DeniedPerez, Alexander Sean 1245453Agent - Casualty  
DeniedPerez, Alexander Sean 1245453Agent - Health  
DeniedPerez, Alexander Sean 1245453Agent - Property  
DeniedScott, Jason Edward 1210231Agent - Casualty  
DeniedScott, Jason Edward 1210231Agent - Health  
DeniedScott, Jason Edward 1210231Agent - Life  
DeniedScott, Jason Edward 1210231Agent - Property  
DeniedStrandberg, Robert Salant 1254091Agent - Casualty  
DeniedStrandberg, Robert Salant 1254091Agent - Health  
DeniedStrandberg, Robert Salant 1254091Agent - Life  
DeniedStrandberg, Robert Salant 1254091Agent - Property  
DeniedTimpanaro, Jessica 1267094Agent - Casualty  
DeniedTimpanaro, Jessica 1267094Agent - Property  
ActiveTimpanaro, Louis M 649001Surplus Lines Broker - Not Applicable5/9/2024 

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