DEPARTMENT OF INSURANCE

Affiliations

Name	Mucci, Mark Daniel	DOIID	681847	NAIC NPN	10897714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	3/27/2024		5/31/2026
Active	Resident	Agent	Life	3/25/2024		5/31/2026
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Casualty	7/9/2008	5/31/2020
Inactive	Resident	Agent	Property	7/9/2008	5/31/2020
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	4/1/2015	5/31/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	4/1/2015	5/31/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2016	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2016	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/26/2016	4/24/2017
Inactive	Amerisure Insurance Company	300298	Agent - Casualty	6/20/2016	1/31/2019
Inactive	Amerisure Insurance Company	300298	Agent - Property	6/20/2016	1/31/2019
Inactive	Amerisure Mutual Insurance Company	301576	Agent - Casualty	6/20/2016	1/31/2019
Inactive	Amerisure Mutual Insurance Company	301576	Agent - Property	6/20/2016	1/31/2019
Inactive	Amerisure Partners Insurance Company	760791	Agent - Casualty	6/20/2016	1/31/2019
Inactive	Amerisure Partners Insurance Company	760791	Agent - Property	6/20/2016	1/31/2019
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Ansur America Insurance Company	520667	Agent - Property	4/14/2011	5/18/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/27/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/27/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/9/2012	5/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/9/2012	5/31/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/1/2015	5/31/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/1/2015	5/31/2020
Active	Banner Life Insurance Company	301696	Agent - Life	7/22/2024
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	8/27/2015	12/11/2019
Inactive	CareSource Kentucky Co.	838179	Agent - Health	1/22/2025	12/23/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/25/2012	12/5/2014
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/5/2024
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/26/2016	4/24/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/25/2012	7/21/2015
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/30/2024
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	11/2/2018
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	11/2/2018
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	3/16/2009	11/2/2018
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	3/16/2009	11/2/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/19/2009	1/25/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/19/2009	1/25/2020
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	4/14/2011	5/18/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	3/16/2009	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	3/16/2009	12/20/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/25/2012	7/21/2015
Active	Humana Insurance Company	301104	Agent - Health	11/10/2025
Inactive	Humana Insurance Company	301104	Agent - Life	5/24/2012	7/21/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/25/2012	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/25/2012	12/5/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/1/2015	5/31/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/1/2015	5/31/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/25/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/25/2012	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/8/2024
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/13/2011	11/12/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	1/13/2011	11/12/2018
Active	National Health Insurance Company	300554	Agent - Health	6/18/2024
Active	National Health Insurance Company	300554	Agent - Life	6/18/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/1/2015	5/31/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/1/2015	5/31/2020
Active	Pacific Life Insurance Company	301848	Agent - Health	7/17/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	7/17/2024
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/10/2011	3/8/2017
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	11/2/2018
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	11/2/2018
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/31/2024
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	3/31/2025
Inactive	West Bend Insurance Company	672974	Agent - Casualty	12/10/2012	1/16/2020
Inactive	West Bend Insurance Company	672974	Agent - Property	12/10/2012	1/16/2020
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/4/2010	10/25/2019
Inactive	Westfield Insurance Company	301950	Agent - Property	1/4/2010	10/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Conliffe & Hickey, LLC	711085	Agent - Life	1/13/2025
Active	Conliffe & Hickey, LLC	711085	Agent - Health	1/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/9/2012	5/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/9/2012	5/31/2020
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	10/3/2012	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Property	10/3/2012	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Life	5/25/2012	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Health	5/25/2012	5/1/2020