DEPARTMENT OF INSURANCE

Name	Patriot Ins Corp	DOIID	772710	NAIC NPN	3202519

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/27/2013	3/31/2018
Inactive	Non Resident	Agent	Casualty	1/13/2012	3/31/2018
Inactive	Non Resident	Agent	Health	8/27/2013	3/31/2018
Inactive	Non Resident	Agent	Property	1/13/2012	3/31/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	300 E Alto Rd Kokomo, IN 469023674

Phone Information

Type	Phone
Business / Home Office	(765) 453-6704