DEPARTMENT OF INSURANCE

Affiliations

Name	Fitzpatrick, Michael Lloyd	DOIID	387964	NAIC NPN	827069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/17/2000	9/30/2020
Inactive	Non Resident	Agent	Health	6/17/1992	9/30/2020
Inactive	Non Resident	Agent	Life	10/12/1992	9/30/2020
Inactive	Non Resident	Agent	Property	8/17/2000	9/30/2020
* 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	ACE American Insurance Company	300625	Agent - Health	8/19/2004	9/30/2020
Inactive	AXIS Insurance Company	301290	Agent - Health	11/11/2010	9/30/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/24/2011	4/28/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/24/2011	4/28/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/24/2011	4/28/2017
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	3/29/2019	9/30/2020
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	3/29/2019	9/30/2020
Inactive	American Fidelity Assurance Company	301004	Agent - Health	6/20/2015	9/1/2020
Inactive	American Fidelity Assurance Company	301004	Agent - Life	6/20/2015	9/1/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/16/1995	3/31/1998
Inactive	BCS Insurance Company	300294	Agent - Casualty	8/17/2000	3/26/2004
Inactive	BCS Insurance Company	300294	Agent - Property	8/17/2000	3/26/2004
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	1/19/2011	9/30/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/13/2014	2/22/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/13/2014	2/22/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/17/1992	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/28/2011	9/7/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/28/2011	9/7/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/12/2007	9/30/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	7/12/2007	9/30/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/8/2019	10/30/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/8/2019	10/30/2020
Inactive	Life Insurance Company of North America	300711	Agent - Health	6/12/1996	9/30/2020
Inactive	Life Insurance Company of North America	300711	Agent - Life	6/12/1996	9/30/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/2/1994	3/31/1997
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/2/1994	3/31/1997
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	3/1/1995	6/16/2003
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	3/1/1995	6/16/2003
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	8/26/2009	1/8/2010
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	8/26/2009	1/8/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	3/2/1995	6/16/2003
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	3/2/1995	6/16/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/4/1996	10/18/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/28/2011	3/25/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/25/2013	9/30/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/1/2008	9/30/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/1/2008	9/30/2020
Inactive	StarNet Insurance Company	502746	Agent - Health	4/13/2010	9/30/2020
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/12/1996	1/15/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life	3/6/2019	5/6/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	3/6/2019	5/6/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	3/29/2019	5/6/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	3/29/2019	5/6/2020