DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Elbert, Patricia A	DOIID	863564	NAIC NPN	719960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	12/15/2014		5/31/2025
Pending Replacement	Non Resident	Agent	Property	12/15/2014		5/31/2025
Pending Replacement	Non Resident	Agent	Casualty	12/15/2014		5/31/2025
Pending Replacement	Non Resident	Agent	Life	12/15/2014		5/31/2025
* 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	Fortitude U.S. Reinsurance Company	301469	Agent - Life	1/5/2015	11/3/2017
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	1/5/2015	4/10/2024
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	1/5/2015	4/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Life	1/5/2015	11/3/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	1/5/2015	4/10/2024
Denied	PMC Advantage Insurance Services, Inc	399370	Agent - Health
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	1/5/2015	4/10/2024