DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pan-American Benefits Solutions Inc	DOIID	728009	NAIC NPN	15104480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/10/2012		3/31/2028
Active	Non Resident	Agent	Life	10/10/2012		3/31/2028
Inactive	Non Resident	Agent	Property	1/30/2017	11/14/2022
Inactive	Non Resident	Agent	Casualty	1/30/2017	11/14/2022
* 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	Markel Insurance Company	301475	Agent - Casualty	2/9/2022	11/14/2022
Active	Markel Insurance Company	301475	Agent - Health	2/9/2022
Inactive	Markel Insurance Company	301475	Agent - Property	2/9/2022	11/14/2022
Active	NGL Insurance Company	300596	Agent - Health	12/15/2022
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	3/1/2018	1/20/2025
Active	Pan-American Life Insurance Company	301530	Agent - Life	3/1/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berggren, Christopher P	1188692	Agent - Health	3/8/2022
Active	Berggren, Christopher P	1188692	Agent - Life	3/8/2022
Inactive	Cheek, David Milton	726650	Agent - Health	5/12/2010	3/31/2012
Inactive	Cheek, David Milton	726650	Agent - Life	5/12/2010	3/31/2012
Inactive	Clarke, Michael Alan	1189478	Agent - Health	3/8/2022	1/20/2025
Active	Clarke, Michael Alan	1189478	Agent - Life	3/8/2022
Denied	Fisher, John Bryan	885839	Agent - Casualty
Denied	Fisher, John Bryan	885839	Agent - Property
Inactive	Mulvenna, Carlo John	744040	Agent - Health	10/10/2012	3/8/2022
Inactive	Mulvenna, Carlo John	744040	Agent - Life	10/10/2012	3/8/2022