DEPARTMENT OF INSURANCE

Affiliations

Name	Quick, Fawn Michelle	DOIID	377009	NAIC NPN	7203257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/21/1993		12/31/2026
Active	Resident	Agent	Casualty	8/15/2000		12/31/2026
Active	Resident	Agent	Property	8/15/2000		12/31/2026
Active	Resident	Agent	Health	12/21/1993		12/31/2026
Active	Resident	Agent	Limited Line Credit	4/12/2004		12/31/2026
Denied	Resident	Agent	Vehicle Physical Damage
Inactive	Resident	Agent	General Lines	5/17/1994	8/15/2000
* 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	10/15/2024	12/31/2024	10/03/2024	10/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/20/2001	4/22/2004
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	12/21/2000	6/20/2003
Inactive	American Health and Life Insurance Company	300844	Agent - Health	3/1/2001	10/5/2022
Inactive	American Health and Life Insurance Company	300844	Agent - Life	3/1/2001	10/5/2022
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	4/12/2004	10/5/2022
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/15/2000	2/21/2003
Inactive	American Security Insurance Company	300901	Agent - General Lines	10/30/1995	8/15/2000
Inactive	American Security Insurance Company	300901	Agent - Property	8/15/2000	2/21/2003
Inactive	Associates Financial Life Insurance Company	301765	Agent - Health	12/21/1993	11/30/2001
Inactive	Associates Financial Life Insurance Company	301765	Agent - Life	12/21/1993	11/30/2001
Inactive	Merit Life Insurance Co.	300150	Agent - Health	9/15/2016	12/15/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Life	9/15/2016	12/15/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/15/2016	12/15/2018
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/5/2000	2/4/2003
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/5/2000	2/4/2003
Inactive	National Casualty Company	301483	Agent - Casualty	8/15/2000	12/11/2002
Inactive	National Casualty Company	301483	Agent - General Lines	4/24/1995	8/15/2000
Inactive	National Casualty Company	301483	Agent - Property	8/15/2000	12/11/2002
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	12/23/1997	11/13/2001
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	12/23/1997	11/13/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	11/30/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	5/17/1994	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	11/30/2001
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/4/1996	10/2/1998
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/4/1996	10/2/1998
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Health	10/22/1997	10/28/2002
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	10/22/1997	10/28/2002
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	8/15/2000	2/18/2004
Inactive	Standard Guaranty Insurance Company	300902	Agent - General Lines	11/11/1996	8/15/2000
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	8/15/2000	2/18/2004
Inactive	TIG Insurance Company	301750	Agent - General Lines	11/8/1995	3/31/1998
Inactive	Triton Insurance Company	300654	Agent - Casualty	3/1/2001	10/5/2022
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	4/12/2004	10/5/2022
Inactive	Triton Insurance Company	300654	Agent - Property	3/1/2001	10/5/2022
Denied	Triton Insurance Company	300654	Agent - Vehicle Physical Damage
Inactive	Yosemite Insurance Company	301519	Agent - Casualty	9/15/2016	1/16/2018
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/15/2016	1/23/2018
Inactive	Yosemite Insurance Company	301519	Agent - Property	9/15/2016	1/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Life	8/13/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Health	8/13/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Property	8/13/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Casualty	8/13/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/13/2018	2/21/2019
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	6/19/2018	10/5/2022
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	6/19/2018	10/5/2022
Inactive	Onemain Assurance Services LLC	751094	Agent - Property	6/19/2018	10/5/2022
Inactive	Onemain Assurance Services LLC	751094	Agent - Casualty	6/19/2018	10/5/2022
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/13/2018	10/5/2022