DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Karwowski, Patrice Erika	DOIID	358522	NAIC NPN	252802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/2/2016		8/31/2026
Active	Non Resident	Agent	Property	6/2/2016		8/31/2026
Inactive	Non Resident	Agent	Health	7/15/1996	8/31/2014
Inactive	Non Resident	Agent	Life	7/15/1996	8/31/2014
Active	Non Resident	Independent Adjuster	Property & Casualty	12/1/2016		8/31/2026
* 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	06/15/2024	08/31/2024	06/07/2024	06/07/2024	Yes
Independent Adjuster	06/15/2024	08/31/2024	06/07/2024	06/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chase Insurance Life Company	301287	Agent - Health	7/15/1996	11/27/2006
Inactive	Chase Insurance Life Company	301287	Agent - Life	7/15/1996	11/27/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/2/2000	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/2/2000	10/28/2008
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/19/2004	6/8/2005
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/19/2004	6/8/2005
Inactive	Heritage Union Life Insurance Company	300200	Agent - Life	3/25/2008	3/14/2012
Active	Independence American Insurance Company	524747	Agent - Casualty	4/10/2024
Active	Independence American Insurance Company	524747	Agent - Property	4/10/2024
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	6/10/2016	5/9/2022
Inactive	North River Insurance Company (The)	301739	Agent - Property	6/10/2016	5/9/2022
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	6/10/2016	10/22/2019
Inactive	Praetorian Insurance Company	301021	Agent - Property	6/10/2016	10/22/2019
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	6/10/2016	5/9/2022
Inactive	United States Fire Insurance Company	582240	Agent - Property	6/10/2016	5/9/2022
Inactive	Wilton Reassurance Company	300937	Agent - Health	3/5/2008	3/31/2009
Inactive	Wilton Reassurance Company	300937	Agent - Life	3/5/2008	3/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	6/20/2016	7/5/2016
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	6/20/2016	3/3/2022
Inactive	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	6/28/2017	3/3/2022
Active	Revival Animal Health Insurance Agency LLC	1265862	Agent - Property	3/31/2023
Active	Revival Animal Health Insurance Agency LLC	1265862	Agent - Casualty	3/31/2023