DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	QDM Insurance Agency Inc.	DOIID	682338	NAIC NPN	961764

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Limited Line Surety
Denied	Non Resident	Agent	Property
Inactive	Non Resident	Agent	Casualty	6/6/2008	3/4/2024
* 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	Atlantic Specialty Insurance Company	518595	Agent - Casualty	7/30/2020	12/31/2023
Inactive	Guarantee Company of North America USA (The)	300857	Agent - Casualty	7/23/2008	12/31/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Runestad, Kathleen A	797521	Agent - Casualty	5/8/2013	3/4/2024
Inactive	Sprys, Joseph Anthony	679882	Agent - Casualty	6/6/2008	3/20/2018
Denied	Sprys, Joseph Anthony	679882	Agent - Limited Line Surety
Denied	Sprys, Joseph Anthony	679882	Agent - Property