DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merchent, Patrick M	DOIID	992356	NAIC NPN	17097414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/25/2018	12/31/2021
Inactive	Non Resident	Agent	Life	4/25/2018	12/31/2021
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/27/2019	1/25/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/27/2019	1/25/2022
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	8/6/2019	12/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/24/2019	12/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/20/2021	12/29/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/13/2018	3/20/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	10/20/2021	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/14/2019	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/14/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Efinancial LLC	598419	Agent - Life	1/10/2019	12/31/2021
Inactive	Efinancial LLC	598419	Agent - Health	6/25/2019	12/31/2021