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	Property	12/12/2016	7/31/2026
Active	Non Resident	Agent	Health	3/1/2017	7/31/2026
Active	Non Resident	Agent	Casualty	12/12/2016	7/31/2026
Active	Non Resident	Agent	Life	3/1/2017	7/31/2026
* 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	05/15/2024	07/31/2024	07/08/2024	07/08/2024	Yes

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
Active	Encompass Indemnity Company	546376	Agent - Casualty	2/27/2018
Active	Encompass Indemnity Company	546376	Agent - Property	2/27/2018
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

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