DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Quantum Risk Management Group LLC	DOIID	1093007	NAIC NPN	18992703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/10/2020	3/31/2022
Inactive	Non Resident	Agent	Casualty	8/10/2020	3/31/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/14/2020	3/31/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	8/14/2020	3/31/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/14/2020	3/31/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/14/2020	3/31/2022
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/14/2020	3/31/2022
Inactive	Federal Insurance Company	301144	Agent - Property	8/14/2020	3/31/2022
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/14/2020	3/31/2022
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/14/2020	3/31/2022
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/14/2020	3/31/2022
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/14/2020	3/31/2022
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/14/2020	3/31/2022
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/14/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shapiro, Kerry Stephen	777405	Agent - Casualty	8/10/2020	3/31/2022
Inactive	Shapiro, Kerry Stephen	777405	Agent - Property	8/10/2020	3/31/2022