DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Church, Patricia Ann	DOIID	366141	NAIC NPN	7198574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/28/1994	8/1/2018
Inactive	Resident	Agent	Life	9/28/1994	8/1/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/4/1994	5/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/4/1994	5/17/2017
Inactive	Celtic Insurance Company	300877	Agent - Health	2/8/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	2/8/1995	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/24/1999	12/29/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/24/1999	12/29/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	7/29/1999	11/25/2003
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/28/1994	5/2/2003
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/28/1994	6/27/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Winston & Company Benefits Inc.	398287	Agent - Life	10/21/1994	5/31/2006
Inactive	Winston & Company Benefits Inc.	398287	Agent - Health	10/21/1994	5/31/2006