DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patrick, Mark H	DOIID	942009	NAIC NPN	671753

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/13/2017		7/31/2026
Active	Non Resident	Agent	Life	1/13/2017		7/31/2026
Active	Non Resident	Agent	Property	1/13/2017		7/31/2026
Active	Non Resident	Agent	Health	1/13/2017		7/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/16/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/19/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/19/2019	4/15/2025
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/27/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/27/2019
Inactive	Tier One Insurance Company	301056	Agent - Health	8/30/2023	11/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services, Inc.	551378	Agent - Casualty
Denied	Alliant Insurance Services, Inc.	551378	Agent - Health
Denied	Alliant Insurance Services, Inc.	551378	Agent - Life
Denied	Alliant Insurance Services, Inc.	551378	Agent - Property