DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Terwilliger, Mark A	DOIID	1134623	NAIC NPN	4775662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/14/2021		5/31/2025
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	7/6/2021
Active	American General Life Insurance Company	301585	Agent - Life	6/11/2021
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/20/2022	3/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	LPL FINANCIAL LLC	399327	Agent - Life	8/18/2022