DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fontes, Mark	DOIID	1011125	NAIC NPN	18881633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/21/2018		8/31/2025
* 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	Accendo Insurance Company	300312	Agent - Health	10/4/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/4/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/7/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/1/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/4/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/2/2019	11/8/2022
Active	Humana Insurance Company	301104	Agent - Health	5/26/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/28/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/4/2021	11/8/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/26/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/1/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	11/28/2018	12/5/2022