DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Iverson, Mark Allen	DOIID	1021453	NAIC NPN	7920141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/6/2018		1/31/2027
Active	Non Resident	Agent	Property	12/6/2018		1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/6/2023		1/31/2027
* 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	11/15/2026	01/31/2027
Surplus Lines Broker	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Northland Casualty Company	300165	Agent - Casualty	12/19/2018
Active	Northland Casualty Company	300165	Agent - Property	12/19/2018
Active	Northland Insurance Company	300201	Agent - Casualty	12/19/2018
Active	Northland Insurance Company	300201	Agent - Property	12/19/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amwins National Transportation Underwriters Inc	517838	Agent - Property	8/27/2025
Active	Amwins National Transportation Underwriters Inc	517838	Agent - Casualty	8/27/2025
Active	Amwins National Transportation Underwriters Inc	517838	Surplus Lines Broker - Not Applicable	8/27/2025