DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Mark S	DOIID	304350	NAIC NPN	3314302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/31/1995	2/14/1997
Inactive	Resident	Agent	Life	4/14/2003	5/31/2003
Inactive	Resident	Agent	Casualty	9/11/2000	5/31/2003
Inactive	Resident	Agent	General Lines	2/12/1996	8/15/2000
Inactive	Resident	Agent	Property	1/9/2002	5/31/2003
* 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	American Economy Insurance Company	300315	Agent - General Lines	2/12/1996	2/14/1997
Inactive	American States Insurance Company	301230	Agent - General Lines	2/12/1996	2/14/1997
Inactive	American States Life Insurance Company	301884	Agent - Health	1/16/1996	2/14/1997
Inactive	American States Life Insurance Company	301884	Agent - Life	1/16/1996	2/14/1997
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	2/12/1996	2/14/1997
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/31/1995	2/14/1997
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/31/1995	2/14/1997
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/10/2001	7/15/2002
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/6/2001	5/31/2003
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/6/2001	5/31/2003
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/11/2000	5/31/2003
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/6/2001	5/31/2003
Inactive	Indiana Insurance Company	301909	Agent - Property	3/6/2001	5/31/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/14/2003	5/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/16/1996	2/14/1997
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/16/1996	2/14/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/31/1995	2/14/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/31/1995	2/14/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	12/23/1998	3/6/2001
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	12/23/1998	3/6/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/6/2001	5/31/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/6/2001	5/31/2003
Inactive	Omni Indemnity Company	301456	Agent - Casualty	1/9/2002	5/31/2003
Inactive	Omni Indemnity Company	301456	Agent - Property	1/9/2002	5/31/2003
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/29/2002	1/27/2003
Inactive	Peerless Insurance Company	301910	Agent - General Lines	11/24/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	4/29/2002	1/27/2003
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	1/9/2002	5/31/2003
Inactive	Trumbull Insurance Company	300242	Agent - Property	1/9/2002	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bennett & Bennett Ins Inc	513258	Agent - Property	8/15/2000	2/13/2003
Inactive	Bennett & Bennett Ins Inc	513258	Agent - Casualty	8/15/2000	2/13/2003