DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Groh, Patrick T	DOIID	707172	NAIC NPN	1793436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/15/2011	1/28/2014
Inactive	Non Resident	Agent	Health	11/15/2011	1/28/2014
* 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	6/19/2009	9/30/2010
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/19/2009	9/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/19/2009	9/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/19/2009	9/30/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2012	1/28/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2012	1/28/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	1/28/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2012	1/28/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/23/2012	1/28/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/23/2012	1/28/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2012	1/28/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2012	1/28/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2012	1/28/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2012	1/28/2014
Inactive	USAA Life Insurance Company	300734	Agent - Health	11/28/2011	1/28/2014
Inactive	USAA Life Insurance Company	300734	Agent - Life	11/28/2011	1/28/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	11/28/2011	1/28/2014
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	11/28/2011	1/28/2014
Inactive	USAA Life General Agency Inc	399318	Agent - Health	10/2/2012	1/28/2014
Inactive	USAA Life General Agency Inc	399318	Agent - Life	10/2/2012	1/28/2014