DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grow, Mark	DOIID	1020972	NAIC NPN	17100618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/3/2018		9/30/2026
* 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	07/15/2024	09/30/2024	08/16/2024	08/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/5/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	8/4/2021	12/20/2023
Active	Integrity Life Insurance Company	301687	Agent - Life	12/5/2022
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/20/2019	12/29/2020
Active	Principal National Life Insurance Company	301926	Agent - Life	12/20/2018
Active	Western-Southern Life Assurance Company	301590	Agent - Life	12/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crump Life Insurance Services LLC	505491	Agent - Life	5/23/2022