PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFitzpatrick, Jena DOIID1195429NAIC NPN1492245
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/25/20221/31/2025 
InactiveNon ResidentAgentHealth3/25/20221/31/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Health6/13/20221/31/2025
InactiveAmerican United Life Insurance Company300498Agent - Life6/13/20221/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGallagher Benefit Services Inc525782Agent - Life4/5/202411/14/2024
InactiveGallagher Benefit Services Inc525782Agent - Health4/5/202411/14/2024

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