DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Patrick Steven	DOIID	980596	NAIC NPN	18629145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/3/2018	2/8/2022
Inactive	Non Resident	Agent	Health	1/3/2018	2/8/2022
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/24/2020	3/4/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/23/2019	1/4/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/23/2019	1/4/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/19/2020	2/25/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/19/2020	2/25/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	2/2/2018	7/30/2019
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	2/2/2018	7/30/2019
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	2/24/2020	11/22/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/29/2020	11/25/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/12/2018	9/9/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/12/2018	9/9/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	12/23/2019	5/5/2020
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	12/23/2019	5/5/2020