DEPARTMENT OF INSURANCE

Affiliations

Name	Quick, Tom R	DOIID	939488	NAIC NPN	18165313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/12/2016	7/31/2026
Active	Non Resident	Agent	Health	3/1/2017	7/31/2026
Active	Non Resident	Agent	Life	3/1/2017	7/31/2026
Active	Non Resident	Agent	Property	12/12/2016	7/31/2026
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	5/17/2017	11/1/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/17/2017	11/1/2022
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/27/2018	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/27/2018	10/3/2024
Active	Erie Family Life Insurance Company	301400	Agent - Life	3/24/2017
Active	Erie Insurance Company	300230	Agent - Casualty	12/13/2016
Active	Erie Insurance Company	300230	Agent - Property	12/13/2016
Active	Erie Insurance Company of New York	789916	Agent - Casualty	12/13/2016
Active	Erie Insurance Company of New York	789916	Agent - Property	12/13/2016
Active	Erie Insurance Exchange	300789	Agent - Casualty	12/13/2016
Active	Erie Insurance Exchange	300789	Agent - Property	12/13/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	12/13/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	12/13/2016
Active	Flagship City Insurance Company	789965	Agent - Casualty	12/13/2016
Active	Flagship City Insurance Company	789965	Agent - Property	12/13/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/19/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/19/2017
Active	Inland Mutual Insurance Company	301184	Agent - Casualty	12/13/2021
Active	Inland Mutual Insurance Company	301184	Agent - Property	12/13/2021
Active	MICO Insurance Company	301664	Agent - Casualty	4/8/2022
Active	MICO Insurance Company	301664	Agent - Property	4/8/2022
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	5/31/2017
Active	Motorists Mutual Insurance Company	300963	Agent - Property	5/31/2017
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/8/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/8/2022
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Westfield National Insurance Company	301036	Agent - Casualty	2/6/2025
Active	Westfield National Insurance Company	301036	Agent - Property	2/6/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bray & Oakley Ins Agy Inc	742235	Agent - Property	2/22/2017
Active	Bray & Oakley Ins Agy Inc	742235	Agent - Casualty	2/22/2017