DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Matthews, Patrice K	DOIID	677664	NAIC NPN	2213735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/4/2008	4/30/2017
Inactive	Non Resident	Agent	Health	4/4/2008	4/30/2017
* 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	11/15/2013	10/21/2016
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/4/2008	6/22/2012
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/4/2008	6/22/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	4/4/2008	6/22/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	4/4/2008	6/22/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Life
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	6/25/2015	12/9/2015