DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lavender, Patricia Ann	DOIID	879985	NAIC NPN	9316255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/9/2015		8/31/2024
Active	Non Resident	Agent	Life	6/9/2015		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	6/30/2015
Active	American General Life Insurance Company	301585	Agent - Life	6/30/2015
Inactive	New York Life Insurance Company	300431	Agent - Health	3/2/2018	9/14/2023
Inactive	New York Life Insurance Company	300431	Agent - Life	3/2/2018	9/14/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/31/2016
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/31/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/31/2016	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/31/2016	10/1/2020
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	6/30/2015
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	6/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMA Insurance Agency Inc.	396159	Agent - Life	10/25/2016
Active	AMA Insurance Agency Inc.	396159	Agent - Health	10/25/2016