DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Myers, Patsy M	DOIID	350654	NAIC NPN	7191722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/29/1988	8/31/2006
Inactive	Resident	Agent	Life	7/29/1988	8/31/2006
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	6/16/1992	8/31/2006
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/16/1992	8/31/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/29/1988	8/31/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/29/1988	8/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Creative Employee Benefits, Inc.	400416	Agent - Life	6/27/1989	8/31/2006
Inactive	Creative Employee Benefits, Inc.	400416	Agent - Health	6/27/1989	8/31/2006