DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Everett, Mark Thomas	DOIID	1063347	NAIC NPN	18912613

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/29/2019		2/28/2027
Active	Non Resident	Agent	Health	10/29/2019		2/28/2027
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/5/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/5/2019	4/15/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/2/2021
Active	CareSource Kentucky Co.	838179	Agent - Health	8/25/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/5/2019	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/5/2019	1/6/2025
Active	Companion Life Insurance Company	300191	Agent - Health	7/14/2023
Active	Companion Life Insurance Company	300191	Agent - Life	7/14/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	12/7/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	12/7/2022
Inactive	Independence American Insurance Company	524747	Agent - Health	3/6/2020	12/30/2022
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	3/6/2020
Active	National Health Insurance Company	300554	Agent - Health	6/16/2020
Active	National Health Insurance Company	300554	Agent - Life	6/16/2020
Active	North River Insurance Company (The)	301739	Agent - Health	5/22/2023
Active	Tier One Insurance Company	301056	Agent - Health	4/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/5/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	11/5/2019