DEPARTMENT OF INSURANCE

Name	Quality Insurance Agency	DOIID	799338	NAIC NPN	16853603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Health	12/20/2012		3/31/2026
Active	Resident	Agent	Life	12/20/2012		3/31/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	Po Box 1800 2319 Lakeway DrRussell Springs, KY 42642