DEPARTMENT OF INSURANCE
Affiliations
NameHatz, Mark DOIID1114674NAIC NPN992717
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/22/2020 2/28/2027
ActiveNon ResidentAgentCasualty12/22/2020 2/28/2027
ActiveNon ResidentAgentProperty12/22/2020 2/28/2027
ActiveNon ResidentAgentHealth12/22/2020 2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Health10/11/2021 
ActiveBankers Standard Insurance Company301620Agent - Casualty1/7/2021 
ActiveBankers Standard Insurance Company301620Agent - Property1/7/2021 
ActiveFederal Insurance Company301144Agent - Health10/11/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Casualty12/18/2024 
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Life  
ActiveAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Health12/18/2024 
ActiveAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Property12/18/2024 

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