DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Patrick	DOIID	1362447	NAIC NPN	21315995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/18/2024		9/30/2025
Active	Non Resident	Agent	Property	9/18/2024		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/26/2024		9/30/2025
* 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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	3/17/2025
Active	AGCS Marine Insurance Company	300403	Agent - Property	3/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rsg Underwriting Managers LLC	621659	Agent - Casualty	3/18/2025
Active	Rsg Underwriting Managers LLC	621659	Agent - Property	3/18/2025
Active	Rsg Underwriting Managers LLC	621659	Surplus Lines Broker - Not Applicable	3/18/2025