DEPARTMENT OF INSURANCE

Affiliations

Name	Galla, Patrick Fields	DOIID	365849	NAIC NPN	1587759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/25/2019		8/31/2025
Active	Resident	Agent	Health	11/25/2019		8/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	4/18/1991	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	5/6/1999	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	Aetna Health Inc.	300694	Agent - Health	8/21/2003	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/9/1998	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/9/1998	9/22/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/8/2002	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/8/2002	11/22/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	10/13/1998	2/24/2003
Inactive	American Fidelity Assurance Company	301004	Agent - Life	10/13/1998	2/24/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	5/28/2008	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/28/2008	10/25/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/6/2010	8/31/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/6/2010	8/31/2017
Inactive	American United Life Insurance Company	300498	Agent - Health	4/17/2020	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	4/17/2020	9/29/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/1995	8/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/1995	8/31/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/22/2014	1/18/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/22/2014	1/18/2017
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	5/21/2001	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	5/21/2001	12/31/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/7/2006	8/9/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	9/13/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	9/13/2013
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/11/2002	11/29/2004
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/30/2005	2/9/2009
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/30/2005	2/9/2009
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/25/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/25/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	8/31/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/25/2011	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/25/2011	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/26/2007	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	3/26/2007	6/11/2014
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	2/12/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	2/12/1997	12/31/1998
Inactive	Continental Casualty Company	301019	Agent - Health	1/26/1999	6/12/2006
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	12/30/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	12/30/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/13/2017	12/10/2018
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	5/6/1999	3/1/2001
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/23/2008	7/26/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/1/1995	3/13/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/1/1995	3/13/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/22/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/22/2006	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/1/2002	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/1/2002	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/2/1999	10/20/2000
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/2/1999	10/20/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/20/2007	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/20/2007	11/10/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	12/31/1998	12/22/2004
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/31/1998	8/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/23/1998	8/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/23/1998	8/31/2017
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	3/21/2002	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	3/21/2002	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/11/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/11/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2013	8/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2017	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/18/1991	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/10/1998	8/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	6/10/1998	8/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2017	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/13/2017	12/10/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/15/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/15/2009	2/24/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/18/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/18/1995	3/31/1997
Inactive	Insurance Company of North America	300226	Agent - Health	3/10/1993	7/8/2003
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/8/2002	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/8/2002	11/14/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/16/2002	12/11/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/16/2002	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	12/16/2002	12/11/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	8/31/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	8/31/2017
Inactive	Life Insurance Company of North America	300711	Agent - Health	3/10/1993	8/31/2017
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/10/1993	8/31/2017
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/22/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/22/2020
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	4/26/2002	3/26/2007
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	4/26/2002	3/26/2007
Inactive	MedAmerica Insurance Company	301568	Agent - Health	3/2/2005	3/6/2009
Inactive	Medical Life Insurance Company	300693	Agent - Health	12/30/1996	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	12/30/1996	12/31/2004
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/1/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/1/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/11/2005	12/15/2011
Inactive	National Travelers Life Company	300304	Agent - Health	6/12/1998	12/12/2000
Inactive	National Travelers Life Company	300304	Agent - Life	6/12/1998	12/12/2000
Inactive	New England Life Insurance Company	300343	Agent - Health	9/20/2004	12/29/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	9/20/2004	12/29/2006
Inactive	New York Life Insurance Company	300431	Agent - Health	9/13/2007	8/31/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	9/13/2007	8/31/2017
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	6/1/2005	5/4/2006
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	6/1/2005	5/4/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	8/26/2011	9/19/2013
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	8/26/2011	9/19/2013
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/4/2005	3/2/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/4/2005	3/2/2007
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	3/28/2005	5/8/2007
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/21/1986	8/31/2017
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/21/1986	8/31/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/25/2009	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/25/2009	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/15/2004	8/31/2017
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/15/2004	8/31/2017
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/24/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/24/1996	1/3/2003
Inactive	State Life Insurance Company	301497	Agent - Health	3/7/2012	10/14/2016
Inactive	State Life Insurance Company	301497	Agent - Life	3/7/2012	10/14/2016
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/14/2004	6/19/2006
Inactive	Time Insurance Company	300683	Agent - Health	4/25/1995	12/8/2011
Inactive	Time Insurance Company	300683	Agent - Life	4/25/1995	12/8/2011
Inactive	Transamerica Assurance Company	300893	Agent - Health	5/21/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/21/2001	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/29/2009	6/27/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/29/2009	6/27/2017
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/21/2008	9/4/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/21/2008	9/4/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/21/2001	3/21/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/21/2001	3/21/2005
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	1/26/2006	12/10/2007
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	1/26/2006	12/10/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/11/1998	12/12/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/11/1998	12/12/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	4/12/1995	1/8/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	4/12/1995	1/8/2015
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	8/9/2005	8/31/2017
Inactive	United Concordia Dental Plans, Inc.	919872	Agent - Health	1/1/2018	8/31/2019
Inactive	United Concordia Insurance Company	903543	Agent - Health	1/1/2018	8/31/2019
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	8/9/2005	8/31/2017
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	5/24/2001	7/10/2006
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	5/24/2001	7/10/2006
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	5/24/2001	7/10/2006
Inactive	United World Life Insurance Company	300532	Agent - Health	10/11/2005	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/26/2018	10/20/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/26/2018	10/20/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/17/2002	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/17/2002	11/30/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/17/2002	11/30/2016
Inactive	Washington National Insurance Company	300587	Agent - Health	11/9/2010	2/27/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	11/9/2010	2/27/2014
Inactive	West Coast Life Insurance Company	301607	Agent - Health	1/31/2008	11/23/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/31/2008	11/23/2009
Inactive	Westport Insurance Corporation	301875	Agent - Health	9/30/1994	3/31/1996
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/2/1999	6/12/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/2/1999	6/12/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/8/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/8/1999	6/23/2008
Inactive	Creative Benefits LLC	513264	Agent - Life	8/12/2004	3/13/2007
Inactive	Creative Benefits LLC	513264	Agent - Health	8/12/2004	3/13/2007
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	10/1/2010	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	8/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	8/31/2017
Inactive	GoldenCare USA, LLC	398142	Agent - Life	2/13/2007	11/2/2016
Inactive	GoldenCare USA, LLC	398142	Agent - Health	2/13/2007	11/2/2016
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	1/28/2008	8/31/2017
Inactive	Medlink Inc	400721	Agent - Health	1/28/2008	8/31/2017