DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bogan, Patricia Ann	DOIID	826895	NAIC NPN	17092964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/25/2015	2/28/2018
Inactive	Non Resident	Agent	Life	6/25/2015	2/28/2018
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	9/29/2017	2/28/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/29/2017	2/28/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	2/28/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	9/29/2017	2/28/2018
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	6/21/2017	1/31/2018