DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Guice, Patricia Ann	DOIID	819219	NAIC NPN	4650008

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2018		10/31/2024
Active	Non Resident	Agent	Health	6/27/2018		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	9/27/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	10/8/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/1/2013	10/31/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/27/2018	4/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	9/27/2018
Inactive	Renew.Com Insurance Services LLC	991714	Agent - Health	9/27/2018	11/21/2019
Inactive	Renew.Com Insurance Services LLC	991714	Agent - Life	10/8/2018	11/21/2019