DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Augustyn, Patricia Katherine	DOIID	895335	NAIC NPN	574823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/14/2015	1/31/2019
Inactive	Non Resident	Agent	Property	10/14/2015	1/31/2019
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/6/2016	1/31/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	4/6/2016	1/31/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/6/2016	1/31/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/6/2016	1/31/2019
Inactive	Continental Casualty Company	301019	Agent - Casualty	4/4/2016	7/5/2016
Inactive	Continental Casualty Company	301019	Agent - Property	4/4/2016	7/5/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/6/2016	1/31/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/6/2016	1/31/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/6/2016	1/31/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/6/2016	1/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Ins Services Inc	515291	Agent - Property	6/14/2016	11/27/2017
Inactive	CBIZ Ins Services Inc	515291	Agent - Casualty	6/14/2016	11/27/2017