DEPARTMENT OF INSURANCE
Affiliations
NameQuantum Source Insurance Group, LLCDOIID980371NAIC NPN17869764
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/5/2024 3/31/2026
ActiveNon ResidentAgentCasualty11/5/2024 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMCO Insurance Company300204Agent - Casualty9/4/20233/31/2024
InactiveAMCO Insurance Company300204Agent - Property9/4/20233/31/2024
InactiveAllied Insurance Company of America793586Agent - Casualty9/4/20233/31/2024
InactiveAllied Insurance Company of America793586Agent - Property9/4/20233/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty9/4/20233/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Property9/4/20233/31/2024
InactiveAmGUARD Insurance Company500010Agent - Casualty1/16/20183/31/2020
InactiveAmGUARD Insurance Company500010Agent - Property1/16/20183/31/2020
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/31/2020
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/31/2020
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty3/3/20243/31/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property3/3/20243/31/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/19/201812/9/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/19/201812/9/2019
InactiveDepositors Insurance Company301634Agent - Casualty9/4/20233/31/2024
InactiveDepositors Insurance Company301634Agent - Property9/4/20233/31/2024
InactiveEmployers Assurance Company300120Agent - Casualty12/23/20193/31/2020
InactiveEmployers Compensation Insurance Company797885Agent - Casualty12/23/20193/31/2020
InactiveEmployers Preferred Insurance Company520656Agent - Casualty12/23/20193/31/2020
InactiveFarmington Casualty Company301137Agent - Casualty12/19/20183/31/2020
InactiveFarmington Casualty Company301137Agent - Property12/19/20183/31/2020
InactiveFidelity and Guaranty Insurance Company301009Agent - Casualty4/20/20224/12/2023
InactiveFidelity and Guaranty Insurance Company301009Agent - Property4/20/20224/12/2023
ActiveHarleysville Insurance Company301462Agent - Casualty11/5/2024 
ActiveHarleysville Insurance Company301462Agent - Property11/5/2024 
InactiveMeridian Security Insurance Company300423Agent - Casualty1/26/20183/31/2020
InactiveMeridian Security Insurance Company300423Agent - Property1/26/20183/31/2020
InactiveMilbank Insurance Company925185Agent - Casualty1/26/20183/31/2020
InactiveMilbank Insurance Company925185Agent - Property1/26/20183/31/2020
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty11/5/2024 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property11/5/2024 
ActiveNationwide Assurance Company300166Agent - Casualty11/5/2024 
ActiveNationwide Assurance Company300166Agent - Property11/5/2024 
ActiveNationwide General Insurance Company300603Agent - Casualty11/5/2024 
ActiveNationwide General Insurance Company300603Agent - Property11/5/2024 
ActiveNationwide Insurance Company of America300333Agent - Casualty11/5/2024 
ActiveNationwide Insurance Company of America300333Agent - Property11/5/2024 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty11/5/2024 
ActiveNationwide Mutual Insurance Company301749Agent - Property11/5/2024 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty11/5/2024 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property11/5/2024 
InactiveNorGUARD Insurance Company500015Agent - Casualty1/16/20183/31/2020
InactiveSAFECO Insurance Company of America300159Agent - Casualty1/10/20183/31/2020
InactiveSAFECO Insurance Company of America300159Agent - Property1/10/20183/31/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty1/10/20183/31/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Property1/10/20183/31/2020
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty12/19/201812/9/2019
InactiveStandard Fire Insurance Company (The)301068Agent - Property12/19/201812/9/2019
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty1/26/20183/31/2020
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property1/26/20183/31/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty1/26/20183/31/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Property1/26/20183/31/2020
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/19/201812/9/2019
InactiveThe Phoenix Insurance Company301502Agent - Property12/19/201812/9/2019
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty3/2/202111/4/2022
InactiveTravelers Casualty Insurance Company of America300522Agent - Property3/2/202111/4/2022
InactiveTravelers Casualty and Surety Company301067Agent - Casualty12/19/201812/9/2019
InactiveTravelers Casualty and Surety Company301067Agent - Property12/19/201812/9/2019
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/19/201812/9/2019
InactiveTravelers Indemnity Company (The)301855Agent - Property12/19/201812/9/2019
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/19/201812/9/2019
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/19/201812/9/2019
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty12/19/201812/9/2019
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property12/19/201812/9/2019
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/19/201812/9/2019
InactiveTravelers Property Casualty Company of America301649Agent - Property12/19/201812/9/2019
InactiveWestern Surety Company300283Agent - Casualty2/21/20183/31/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHarris, Charles Lamar 979998Agent - Casualty2/19/20214/12/2023
InactiveHarris, Charles Lamar 979998Agent - Property2/19/20214/12/2023
ActiveNeal, Justin Keith 786159Agent - Casualty11/5/2024 
ActiveNeal, Justin Keith 786159Agent - Property11/5/2024 
InactiveWilson, Jennifer Renee 1272936Agent - Casualty6/20/20233/31/2024
InactiveWilson, Jennifer Renee 1272936Agent - Property6/20/20233/31/2024

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