DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burks, Patterson B	DOIID	947644	NAIC NPN	18276067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/13/2017		4/30/2027
Active	Non Resident	Agent	Life	3/13/2017		4/30/2027
* 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	02/15/2025	04/30/2025	03/07/2025	03/07/2025	Yes

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	3/11/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	4/29/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/2/2021	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/2/2021	2/13/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	4/12/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	4/12/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	7/20/2017	12/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/28/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/28/2021