DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Patrick	DOIID	738418	NAIC NPN	9541847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2020	10/31/2024
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/21/2022	10/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/21/2022	10/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/21/2022	10/31/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/23/2020	6/30/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/31/2023	6/30/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/31/2023	6/30/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/6/2022	12/19/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/26/2011	10/31/2012
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/31/2023	6/30/2023
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	6/15/2012	10/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/26/2011	10/31/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	10/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/16/2010	10/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2010	10/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/16/2010	10/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/26/2011	10/31/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/21/2022	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/13/2021	2/11/2022