DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patel, Kiran N	DOIID	384273	NAIC NPN	753768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/2/1997	12/31/2000
Inactive	Resident	Agent	Life	1/2/1997	12/31/2000
Inactive	Resident	Agent	Limited Line Credit	12/30/2004	9/30/2006
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/26/1997	4/12/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/26/1997	4/12/1999
Inactive	Conseco Insurance Company	301202	Agent - Life	6/5/1997	12/1/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	5/14/1997	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/30/2004	9/30/2006
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/9/1997	3/3/1999
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/9/1997	3/3/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/13/1997	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/13/1997	8/24/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	5/7/1997	12/31/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	5/7/1997	12/31/2000
Inactive	United Life & Annuity Insurance Company	301706	Agent - Health	1/13/1998	12/31/1998
Inactive	United Life & Annuity Insurance Company	301706	Agent - Life	1/13/1998	12/31/1998
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	1/2/1997	12/1/2000
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	1/2/1997	12/1/2000
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	8/26/1997	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crystal, Inc.	571441	Agent - Limited Line Credit	12/30/2004	9/30/2006
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	7/14/1997	12/1/2000
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	7/14/1997	12/1/2000