DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Murray, Quiaunte Perez	DOIID	742049	NAIC NPN	15135259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/9/2010	6/30/2016
Inactive	Non Resident	Agent	Life	8/24/2012	6/30/2016
Inactive	Non Resident	Agent	Property	4/30/2019	6/30/2022
Inactive	Non Resident	Agent	Casualty	4/30/2019	6/30/2022
Pending Replacement	Non Resident	Staff Adjuster	Property & Casualty	3/11/2022		6/30/2024
* 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
Staff Adjuster	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	7/25/2012	8/2/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/1/2019	6/14/2021
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/1/2019	6/14/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/6/2014	6/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/21/2015	1/27/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2015	1/27/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/26/2013	6/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/20/2015	9/22/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2010	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/20/2015	9/22/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/20/2015	9/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/20/2015	9/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/20/2015	9/22/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/27/2013	6/20/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/27/2013	6/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	7/13/2015	6/30/2016
Inactive	Ins Dialogue Agency LLC	798353	Agent - Life	7/13/2015	6/30/2016