DEPARTMENT OF INSURANCE

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	Casualty	11/20/2012		4/30/2025
Active	Non Resident	Agent	Property	11/20/2012		4/30/2025
* 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	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