DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moffa, Patrick Michael	DOIID	689944	NAIC NPN	619944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/24/2008	12/15/2008
Inactive	Non Resident	Agent	Health	9/24/2008	12/15/2008
* 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 Life Insurance Company	301209	Agent - Health	11/21/2008	12/15/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/21/2008	12/15/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/5/2008	12/15/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	12/5/2008	12/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Corporate Call Center, Inc	695480	Agent - Health
Denied	Corporate Call Center, Inc	695480	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2008	12/15/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2008	12/15/2008