DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keightley, Patrick Joseph	DOIID	797991	NAIC NPN	2816043

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2012		4/30/2027
Active	Non Resident	Agent	Casualty	11/20/2012		4/30/2027
* 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	02/15/2025	04/30/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FCCI Insurance Company	557454	Agent - Casualty	11/21/2012	12/17/2015
Inactive	FCCI Insurance Company	557454	Agent - Property	11/21/2012	12/17/2015
Inactive	National Trust Insurance Company	300367	Agent - Casualty	11/21/2012	12/17/2015
Inactive	National Trust Insurance Company	300367	Agent - Property	11/21/2012	12/17/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alera Group, Inc.	941451	Agent - Property
Denied	Alera Group, Inc.	941451	Agent - Casualty