DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Patrick	DOIID	994735	NAIC NPN	11003957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/26/2024		11/30/2026
Active	Non Resident	Agent	Health	3/26/2024		11/30/2026
Active	Non Resident	Agent	Casualty	5/18/2018		11/30/2026
Active	Non Resident	Agent	Property	5/18/2018		11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/5/2024		11/30/2026
* 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	09/15/2026	11/30/2026
Surplus Lines Broker	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allegheny Casualty Company	545740	Agent - Casualty	5/28/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	7/26/2024	12/23/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	7/26/2024	12/23/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	7/26/2024	12/22/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	7/26/2024	12/22/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	7/26/2024	12/23/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	7/26/2024	12/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Property	4/21/2025	12/23/2025
Inactive	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Casualty	4/21/2025	4/15/2026
Denied	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Life
Denied	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Health
Inactive	Acrisure Southwest Partners Insurance Services LLC	1274776	Surplus Lines Broker - Not Applicable	4/21/2025	4/15/2026
Inactive	Rsi Insurance Brokers, Inc	628327	Agent - Property	3/16/2020	3/31/2020
Inactive	Rsi Insurance Brokers, Inc	628327	Agent - Casualty	3/16/2020	3/31/2020