DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Patton, Pennie Jolene	DOIID	527151	NAIC NPN	5332448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/15/2007	2/23/2009
Inactive	Resident	Agent	Life	10/17/2007	2/23/2009
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	9/20/2001	12/11/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/20/2001	12/11/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/22/2007	2/23/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/22/2007	2/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Simplified, LLC	578256	Agent - Life	5/17/2004	5/31/2005
Inactive	Benefits Simplified, LLC	578256	Agent - Health	5/17/2004	5/31/2005