DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Quality Insurance Services, Inc.	DOIID	582948	NAIC NPN	7975735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Property	2/9/2004	4/7/2005
Inactive	Resident	Agent	Casualty	2/9/2004	4/7/2005
Inactive	Resident	Agent	Life	2/9/2004	3/5/2005
Inactive	Resident	Agent	Health	3/3/2004	3/5/2005
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/3/2004	3/4/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/3/2004	3/4/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mattingly, Doris Jean	340486	Agent - Casualty	2/9/2004	4/7/2005
Inactive	Mattingly, Doris Jean	340486	Agent - Health	3/3/2004	3/4/2005
Inactive	Mattingly, Doris Jean	340486	Agent - Life	3/3/2004	3/4/2005
Inactive	Mattingly, Doris Jean	340486	Agent - Property	2/9/2004	4/7/2005