DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Revival Animal Health Insurance Agency LLC	DOIID	1265862	NAIC NPN	20664735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/31/2023		3/31/2027
Active	Non Resident	Agent	Casualty	3/31/2023		3/31/2027
* 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	American Pet Insurance Company, Inc.	301240	Agent - Casualty	4/11/2024
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	4/11/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	4/10/2024
Active	Independence American Insurance Company	524747	Agent - Property	4/10/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Karwowski, Patrice Erika	358522	Agent - Casualty	3/31/2023
Active	Karwowski, Patrice Erika	358522	Agent - Property	3/31/2023