DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patrick, Kenneth	DOIID	725261	NAIC NPN	7232442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/13/2011	5/31/2015
Inactive	Non Resident	Agent	Health	3/25/2010	5/31/2015
Inactive	Non Resident	Agent	Life	3/25/2010	5/31/2015
* 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	HCC Life Insurance Company	301827	Agent - Health	12/23/2013	5/31/2015
Inactive	HCC Life Insurance Company	301827	Agent - Life	12/23/2013	5/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Employee Benefit Management Corp	395788	Administrator - Not Applicable	6/12/2013	5/31/2015