DEPARTMENT OF INSURANCE

Affiliations

Name	Workman, Patrick Martin	DOIID	714041	NAIC NPN	14955882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	9/26/2017	8/31/2025
Active	Resident	Agent	Health	1/5/2018	8/31/2025
Active	Resident	Agent	Property	9/26/2017	8/31/2025
Active	Resident	Agent	Life	12/28/2017	8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/27/2019
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/27/2019
Active	Addison Insurance Company	874810	Agent - Casualty	10/8/2018
Active	Addison Insurance Company	874810	Agent - Property	10/8/2018
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	3/15/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	3/15/2022
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	4/29/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/27/2023
Active	Grange Indemnity Insurance Company	300793	Agent - Property	7/27/2023
Active	Grange Insurance Company	300234	Agent - Casualty	7/27/2023
Active	Grange Insurance Company	300234	Agent - Property	7/27/2023
Active	National Interstate Insurance Company	301301	Agent - Casualty	6/7/2024
Active	National Interstate Insurance Company	301301	Agent - Property	6/7/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	4/29/2019
Denied	Northwestern Mutual Life Insurance Company	300931	Agent - Health
Denied	Northwestern Mutual Life Insurance Company	300931	Agent - Life
Active	Owners Insurance Company	300796	Agent - Casualty	3/15/2022
Active	Owners Insurance Company	300796	Agent - Property	3/15/2022
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	4/29/2019
Active	SummitPoint Insurance Company	819084	Agent - Casualty	4/29/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	7/27/2023
Active	Trustgard Insurance Company	300104	Agent - Property	7/27/2023
Active	United Fire & Casualty Company	301374	Agent - Casualty	10/8/2018
Active	United Fire & Casualty Company	301374	Agent - Property	10/8/2018
Active	West Bend Insurance Company	672974	Agent - Casualty	10/9/2018
Active	West Bend Insurance Company	672974	Agent - Property	10/9/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Pending	Assuredpartners NL, LLC	762387	Agent - Health
Pending	Assuredpartners NL, LLC	762387	Agent - Life
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	4/18/2025
Active	Assuredpartners NL, LLC	762387	Agent - Property	4/18/2025