DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cottrell, Quinten Lamar	DOIID	961279	NAIC NPN	18485416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/11/2017	4/30/2019
Inactive	Resident	Agent	Life	8/14/2017	4/30/2019
Inactive	Resident	Agent	Health	8/9/2017	4/30/2019
Inactive	Resident	Agent	Casualty	8/11/2017	4/30/2019
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/19/2017	8/29/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/19/2017	8/29/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/5/2017	9/18/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/5/2017	9/18/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/19/2017	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/19/2017	8/29/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/1/2017	8/2/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/1/2017	8/2/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/1/2017	8/2/2018
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	9/27/2018	4/18/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	8/14/2018	4/18/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	8/14/2018	4/18/2019
Inactive	Primerica Life Insurance Company	300970	Agent - Health	4/29/2019	4/30/2019
Inactive	Primerica Life Insurance Company	300970	Agent - Life	4/29/2019	4/30/2019
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/1/2017	8/2/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/1/2017	8/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2017	8/2/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/19/2017	8/2/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	9/1/2017	8/2/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/1/2017	8/2/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/1/2017	8/2/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/1/2017	8/2/2018