DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Patrick, Traci Leigh	DOIID	908640	NAIC NPN	17874993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/10/2016		1/31/2026
Active	Resident	Agent	Health	4/14/2016		1/31/2026
Active	Resident	Agent	Life	4/14/2016		1/31/2026
Active	Resident	Agent	Property	3/10/2016		1/31/2026
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	8/3/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/3/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/23/2017	2/19/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/23/2017	2/19/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/23/2016	1/30/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/23/2016	1/30/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/2/2020	2/23/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/2/2020	2/23/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/16/2016	2/13/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/16/2016	2/13/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/23/2016	1/30/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/23/2016	1/30/2019
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/3/2017	11/6/2018
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/3/2017	11/6/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/15/2019	2/24/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/15/2019	2/24/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/15/2019	2/24/2020
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/10/2016	12/13/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/10/2016	12/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/13/2016	12/13/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/13/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/10/2016	12/13/2018
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Casualty	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Property	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Life	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Health	11/28/2016	3/31/2020