DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Der Does, Mark	DOIID	1449679	NAIC NPN	17531866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2026		9/30/2027
Active	Non Resident	Agent	Casualty	2/26/2026		9/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/11/2026		9/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lockton Re LLC	802490	Surplus Lines Broker - Not Applicable	3/27/2026