DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patrick, Traci Leigh	DOIID	908640	NAIC NPN	17874993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/10/2016		1/31/2026
Active	Resident	Agent	Health	4/14/2016		1/31/2026
Active	Resident	Agent	Life	4/14/2016		1/31/2026
Active	Resident	Agent	Property	3/10/2016		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/3/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/3/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/23/2017	2/19/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/23/2017	2/19/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/23/2016	1/30/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/23/2016	1/30/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/2/2020	2/23/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/2/2020	2/23/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/16/2016	2/13/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/16/2016	2/13/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/23/2016	1/30/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/23/2016	1/30/2019
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/3/2017	11/6/2018
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/3/2017	11/6/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/15/2019	2/24/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/15/2019	2/24/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/15/2019	2/24/2020
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/10/2016	12/13/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/10/2016	12/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/13/2016	12/13/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/13/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/10/2016	12/13/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/10/2016	12/13/2018
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Casualty	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Property	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Life	11/28/2016	3/31/2020
Inactive	Traci L Patrick Insurance Incorporated	938086	Agent - Health	11/28/2016	3/31/2020