DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Q3m Insurance Solutions, Llc	DOIID	1006871	NAIC NPN	18690171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/5/2021		3/31/2026
Inactive	Non Resident	Agent	Life	8/27/2018	1/1/2021
* 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
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	1/28/2019	3/27/2020
Inactive	Great Western Insurance Company	501693	Agent - Life	10/31/2019	7/8/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hudson, Robert Thomas	763661	Agent - Health	8/27/2018	10/31/2020
Inactive	Hudson, Robert Thomas	763661	Agent - Life	8/27/2018	10/31/2020
Active	Quiros, Maryann J	1087099	Agent - Health	3/5/2021