DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fs Insurance Services LLC	DOIID	1087652	NAIC NPN	19389364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2020		3/31/2026
Active	Non Resident	Agent	Casualty	9/6/2023		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	Auto-Owners Insurance Company	301480	Agent - Casualty	9/8/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	9/8/2023
Active	NAU Country Insurance Company	533460	Agent - Property	4/20/2021
Active	Owners Insurance Company	300796	Agent - Casualty	9/8/2023
Active	Owners Insurance Company	300796	Agent - Property	9/8/2023
Active	Western Surety Company	300283	Agent - Casualty	5/26/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Duvall, David Ryan	863986	Agent - Property	6/29/2020
Active	Quillen, Joel Thomas	1296547	Agent - Casualty	9/6/2023