DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shofner, Patricia Ann	DOIID	349887	NAIC NPN	7191396

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/25/1991	8/13/1997
Inactive	Resident	Agent	Life	4/25/1991	8/13/1997
Inactive	Resident	Agent	General Lines	6/30/1988	8/15/2000
Inactive	Resident	Surplus Lines Broker	Not Applicable	3/1/1994	3/31/1996
* 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	Berkley Life and Health Insurance Company	301421	Agent - Health	10/20/1992	3/31/1997
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Life	10/20/1992	3/31/1997
Inactive	Catlin Insurance Company, Inc.	300979	Agent - General Lines	12/3/1991	3/31/2000
Inactive	Celtic Insurance Company	300877	Agent - Health	4/12/1994	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	4/12/1994	3/31/1997
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	6/30/1988	8/15/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/4/1991	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/4/1991	3/31/1997
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/26/1994	3/31/1996
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/31/1989	1/2/1996
Inactive	Reliance Insurance Company	300785	Agent - General Lines	2/28/1989	8/15/2000
Inactive	Time Insurance Company	300683	Agent - Health	4/25/1991	8/13/1997
Inactive	Time Insurance Company	300683	Agent - Life	4/25/1991	8/13/1997
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	12/3/1991	3/31/2000
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	12/3/1991	3/31/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lewis Noel & Jones Agency Inc.	398264	Agent - General Lines	8/13/1997	8/15/2000
Inactive	Lewis Noel & Jones Agency Inc.	398264	Agent - Life	6/16/1989	8/13/1997
Inactive	Lewis Noel & Jones Agency Inc.	398264	Agent - Health	6/16/1989	8/13/1997