DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Glaser, Patrick Scott	DOIID	640470	NAIC NPN	8917829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/6/2006	7/1/2009
Inactive	Resident	Agent	Health	10/6/2006	7/1/2009
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/12/2006	1/3/2007
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/12/2006	1/3/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/12/2006	10/15/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/12/2006	10/15/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/31/2007	12/24/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/31/2007	12/24/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	12/13/2007	7/1/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/13/2007	7/1/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/20/2006	7/1/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/20/2006	7/1/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	10/18/2006	7/1/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	10/18/2006	1/11/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/20/2006	7/1/2009
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/20/2006	7/1/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2006	10/11/2008
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2006	10/11/2008
Inactive	Humana Insurance Company	301104	Agent - Life	11/3/2006	10/11/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/3/2006	10/11/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/3/2006	10/11/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/12/2006	1/4/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/12/2006	1/4/2007
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/2/2007	7/1/2009