DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Good, Patrick G	DOIID	342566	NAIC NPN	1494458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/23/1997	8/31/2009
Inactive	Non Resident	Agent	Life	10/23/1997	8/31/2009
Inactive	Non Resident	Agent	Health Maintenance Organization	10/30/1997	3/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/14/1999	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/14/1999	11/21/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	8/31/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/30/1997	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/17/1998	8/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/23/1997	8/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/23/1997	8/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	10/27/1997	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	10/27/1997	2/10/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	8/31/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	8/31/2009