DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fitzpatrick, Michael Alan	DOIID	1333073	NAIC NPN	513838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/3/2024		4/30/2028
Active	Non Resident	Agent	Health	4/3/2024		4/30/2028
* 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	02/15/2026	04/30/2026	02/17/2026	02/17/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/2/2026
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/2/2026
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/18/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/2/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/2/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/19/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	GoldenCare USA, LLC	398142	Agent - Life	1/20/2026
Active	GoldenCare USA, LLC	398142	Agent - Health	1/20/2026
Active	National Independent Brokers, LLC	502029	Agent - Life	1/20/2026
Active	National Independent Brokers, LLC	502029	Agent - Health	1/20/2026