DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fones, John Mark	DOIID	306203	NAIC NPN	7158409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	5/1/2000	9/30/2009
Inactive	Resident	Agent	Health	9/14/1993	9/30/2015
Inactive	Resident	Agent	Life	9/14/1993	1/16/2002
Inactive	Resident	Agent	Health Maintenance Organization	8/2/1995	3/1/2001
AFFIDAVIT ON FILE
* 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	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	2/25/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	8/2/1995	3/1/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/14/1993	4/27/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/14/1993	4/27/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Health Corporation	400683	Agent - Life	8/28/1998	1/16/2002
Inactive	Commonwealth Health Corporation	400683	Agent - Health	8/28/1998	2/25/2003
Inactive	Commonwealth Health Corporation	400683	Agent - Health Maintenance Organization	2/14/1997	3/1/2001
Inactive	Commonwealth Health Corporation	507058	Administrator - Not Applicable	5/1/2000	9/30/2009