DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Quincy	DOIID	1283739	NAIC NPN	20722969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/5/2023		10/31/2024
Active	Non Resident	Agent	Health	7/5/2023		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	7/24/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	7/18/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	7/18/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/18/2023
Active	American Benefit Life Insurance Company	301002	Agent - Health	11/10/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/18/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/18/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	7/17/2023	3/6/2024
Active	Tier One Insurance Company	301056	Agent - Health	7/18/2023
Active	Tier One Insurance Company	301056	Agent - Life	7/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	7/27/2023
Active	Spring Ins Solutions LLC	788951	Agent - Health	7/27/2023