DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hurbanis, Mark	DOIID	1271102	NAIC NPN	19943552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/26/2023		6/30/2025
Active	Non Resident	Agent	Property	4/26/2023		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/10/2023	2/20/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/10/2023	2/20/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/10/2023	2/20/2025
Inactive	Root Insurance Company	964834	Agent - Casualty	5/1/2024	11/5/2024
Inactive	Root Insurance Company	964834	Agent - Property	5/1/2024	11/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	5/10/2023	11/4/2024
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Property	5/10/2023	11/4/2024
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Casualty	5/10/2023	11/4/2024
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Property	5/10/2023	11/4/2024