DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Quigley, Dorinda	DOIID	383307	NAIC NPN	1498149

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/30/2007		6/30/2026
Active	Resident	Agent	Life	8/2/2007		6/30/2026
* 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	04/15/2024	06/30/2024	06/24/2024	06/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/19/1996	12/1/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/19/1996	12/1/2000
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/10/1997	8/10/2000
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/10/1997	8/10/2000
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/24/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/24/2008	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/24/2008	9/9/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/24/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/2008	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	6/24/2008	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/24/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/24/2008	9/8/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/9/1996	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/9/1996	3/31/1999
Inactive	Professional Insurance Company	301281	Agent - Health	2/25/1997	12/1/2000
Inactive	Professional Insurance Company	301281	Agent - Life	2/25/1997	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/6/1997	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/6/1997	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Insurance Group Inc.	399045	Agent - Life	6/30/2008	7/16/2010
Inactive	National City Insurance Group Inc.	399045	Agent - Health	6/30/2008	7/16/2010
Inactive	USI Midwest LLC	517736	Agent - Life	4/7/2010	9/9/2010
Inactive	USI Midwest LLC	517736	Agent - Health	4/7/2010	9/9/2010
Denied	Usi Insurance Services LLC	669260	Agent - Life
Denied	Usi Insurance Services LLC	669260	Agent - Health