DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hatz, Mark	DOIID	1114674	NAIC NPN	992717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/22/2020		2/28/2027
Active	Non Resident	Agent	Casualty	12/22/2020		2/28/2027
Active	Non Resident	Agent	Property	12/22/2020		2/28/2027
Active	Non Resident	Agent	Health	12/22/2020		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	10/11/2021
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	1/7/2021
Active	Bankers Standard Insurance Company	301620	Agent - Property	1/7/2021
Active	Federal Insurance Company	301144	Agent - Health	10/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Casualty	12/18/2024
Denied	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Life
Active	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Health	12/18/2024
Active	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Property	12/18/2024