DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubois, Mark S	DOIID	1067433	NAIC NPN	19359697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/6/2019	11/30/2024
Inactive	Non Resident	Agent	Property	12/6/2019	11/30/2024
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/15/2021	11/30/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/15/2021	11/30/2024
Inactive	LM General Insurance Company	300133	Agent - Casualty	12/15/2021	11/30/2024
Inactive	LM General Insurance Company	300133	Agent - Property	12/15/2021	11/30/2024
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/15/2021	11/30/2024
Inactive	LM Insurance Corporation	301061	Agent - Property	12/15/2021	11/30/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/15/2021	11/30/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/15/2021	11/30/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/15/2021	11/30/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/15/2021	11/30/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/15/2021	11/30/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/15/2021	11/30/2024
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	12/15/2021	11/30/2024
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	12/15/2021	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nissan Motor Ins Services Corp	502154	Agent - Casualty	12/20/2021	11/30/2024
Inactive	Nissan Motor Ins Services Corp	502154	Agent - Property	12/20/2021	11/30/2024