DEPARTMENT OF INSURANCE

Affiliations

Name	Seltzer, Patricia A	DOIID	613175	NAIC NPN	2322742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/26/2009	7/31/2012
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/26/2009	7/31/2012
Inactive	Non Resident	Agent	Life	10/26/2009	7/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/30/2005	7/31/2008
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	8/30/2005	7/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SBS Insurance Brokers of Kentucky Inc.	398096	Agent - Life	12/26/2007	7/31/2008
Inactive	SBS Insurance Brokers of Kentucky Inc.	398096	Agent - Variable Life and Variable Annuities	12/26/2007	7/31/2008