DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gavin, Patrick Michael	DOIID	1289767	NAIC NPN	17032822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/4/2023		1/31/2026
Active	Non Resident	Agent	Property	8/4/2023		1/31/2026
Active	Non Resident	Agent	Health	4/23/2024		1/31/2026
Active	Non Resident	Agent	Life	4/23/2024		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/31/2023		1/31/2026
* 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	11/15/2025	01/31/2026
Surplus Lines Broker	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	10/25/2024
Active	AGCS Marine Insurance Company	300403	Agent - Property	10/25/2024
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	10/25/2024
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	10/25/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	2/24/2025
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/24/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rsg Underwriting Managers LLC	621659	Agent - Casualty	10/25/2024
Active	Rsg Underwriting Managers LLC	621659	Agent - Property	10/25/2024
Active	Rsg Underwriting Managers LLC	621659	Surplus Lines Broker - Not Applicable	10/15/2024
Active	Rsg Underwriting Managers LLC	621659	Agent - Life	2/25/2025
Active	Rsg Underwriting Managers LLC	621659	Agent - Health	2/25/2025
Active	Velocity Risk Underwriters LLC	888496	Agent - Casualty	6/26/2025
Active	Velocity Risk Underwriters LLC	888496	Agent - Property	6/26/2025