DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fitzpatrick, Michael Clifford	DOIID	710899	NAIC NPN	3419226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/7/2009		2/28/2026
Active	Non Resident	Agent	Casualty	8/7/2009		2/28/2026
* 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	Everest National Insurance Company	301319	Agent - Casualty	12/30/2013	4/6/2017
Inactive	Everest National Insurance Company	301319	Agent - Property	12/30/2013	4/6/2017
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	4/5/2019
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	4/5/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	4/5/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	4/5/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rsc Insurance Brokerage,Inc.	638300	Agent - Property	1/16/2020
Active	Rsc Insurance Brokerage,Inc.	638300	Agent - Casualty	1/16/2020
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	7/24/2014	4/6/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/24/2014	4/6/2017