DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Patricia T	DOIID	722668	NAIC NPN	1705892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/10/2010	9/30/2014
Inactive	Non Resident	Agent	Life	2/10/2010	9/30/2014
* 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 Life Insurance Company	301209	Agent - Health	5/27/2010	9/30/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/27/2010	9/30/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/23/2010	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/23/2010	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/23/2010	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/23/2010	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/23/2010	9/3/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	4/16/2012	9/30/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	4/16/2012	9/30/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/16/2011	9/30/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/16/2011	9/30/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/24/2011	9/30/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/24/2011	9/30/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/24/2011	9/30/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/24/2011	9/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/27/2010	9/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/27/2010	9/30/2014
Inactive	Medlink Inc	400721	Agent - Health	6/22/2010	9/30/2014
Inactive	Medlink Inc	400721	Agent - Life	6/22/2010	9/30/2014