DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Revival Animal Health Insurance Agency LLC	DOIID	1265862	NAIC NPN	20664735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/31/2023		3/31/2027
Active	Non Resident	Agent	Casualty	3/31/2023		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	4/11/2024
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	4/11/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	4/10/2024
Active	Independence American Insurance Company	524747	Agent - Property	4/10/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Karwowski, Patrice Erika	358522	Agent - Casualty	3/31/2023
Active	Karwowski, Patrice Erika	358522	Agent - Property	3/31/2023