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DEPARTMENT OF INSURANCE
Affiliations
Name
O'Brien, Mark Shawn
DOIID
309670
NAIC NPN
7159951
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
11/3/1994
7/1/2002
Inactive
Resident
Agent
General Lines
5/6/1994
8/15/2000
Inactive
Resident
Agent
Casualty
8/15/2000
7/1/2002
Inactive
Resident
Agent
Health
11/3/1994
7/1/2002
Inactive
Resident
Agent
Property
8/15/2000
7/1/2002
* 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
Allstate Indemnity Company
300778
Agent - General Lines
5/6/1994
11/20/1998
Inactive
Allstate Insurance Company
300773
Agent - General Lines
5/6/1994
11/20/1998
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - General Lines
3/24/1999
8/15/2000
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - General Lines
9/24/1999
8/15/2000
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
8/15/2000
7/1/2002
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/9/2000
7/1/2002
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - General Lines
9/24/1999
8/15/2000
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
8/15/2000
7/1/2002
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
3/21/2000
7/1/2002
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
3/21/2000
7/1/2002
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
8/15/2000
1/8/2002
Inactive
Consolidated Insurance Company
300943
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Consolidated Insurance Company
300943
Agent - Property
8/15/2000
1/8/2002
Inactive
Continental Casualty Company
301019
Agent - General Lines
3/24/1999
8/15/2000
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
8/15/2000
2/11/2002
Inactive
Continental Insurance Company (The)
301242
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Continental Insurance Company (The)
301242
Agent - Property
8/15/2000
2/11/2002
Inactive
Dairyland Insurance Company
301370
Agent - Casualty
8/15/2000
1/14/2002
Inactive
Dairyland Insurance Company
301370
Agent - General Lines
8/25/1999
8/15/2000
Inactive
Dairyland Insurance Company
301370
Agent - Property
8/15/2000
1/14/2002
Inactive
Everlake Life Insurance Company
300873
Agent - Health
11/3/1994
11/20/1998
Inactive
Everlake Life Insurance Company
300873
Agent - Life
11/3/1994
11/20/1998
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - Casualty
8/15/2000
2/11/2002
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - Property
8/15/2000
2/11/2002
Inactive
Indiana Insurance Company
301909
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Indiana Insurance Company
301909
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Indiana Insurance Company
301909
Agent - Property
8/15/2000
1/8/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/13/1996
1/8/1999
Inactive
Meridian Mutual Insurance Company
301303
Agent - Casualty
8/15/2000
6/1/2001
Inactive
Meridian Mutual Insurance Company
301303
Agent - General Lines
12/27/1999
8/15/2000
Inactive
Meridian Mutual Insurance Company
301303
Agent - Property
8/15/2000
6/1/2001
Inactive
Modern Woodmen of America
301213
Agent - Life
2/5/2001
3/1/2002
Inactive
National Fire Insurance Company of Hartford
301063
Agent - General Lines
3/24/1999
8/15/2000
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
8/15/2000
1/8/2002
Inactive
Netherlands Insurance Company (The)
300339
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
8/15/2000
1/8/2002
Inactive
Omni Indemnity Company
301456
Agent - Casualty
1/9/2002
7/1/2002
Inactive
Omni Indemnity Company
301456
Agent - Property
1/9/2002
7/1/2002
Inactive
Omni Insurance Company
301545
Agent - General Lines
3/18/1999
3/31/2000
Inactive
Peerless Insurance Company
301910
Agent - Casualty
8/15/2000
1/8/2002
Inactive
Peerless Insurance Company
301910
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Peerless Insurance Company
301910
Agent - Property
8/15/2000
1/8/2002
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
1/24/2000
7/1/2002
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
1/24/2000
7/1/2002
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Standard Fire Insurance Company (The)
301068
Agent - General Lines
9/24/1999
8/15/2000
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
8/15/2000
7/1/2002
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Casualty
6/1/2001
7/1/2002
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Property
6/1/2001
7/1/2002
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
8/15/2000
7/1/2002
Inactive
The Phoenix Insurance Company
301502
Agent - General Lines
9/24/1999
8/15/2000
Inactive
The Phoenix Insurance Company
301502
Agent - Property
8/15/2000
7/1/2002
Inactive
Time Insurance Company
300683
Agent - Health
3/26/2001
7/1/2002
Inactive
Time Insurance Company
300683
Agent - Life
3/26/2001
7/1/2002
Inactive
Transcontinental Insurance Company
301731
Agent - General Lines
3/24/1999
8/15/2000
Inactive
Transportation Insurance Company
301575
Agent - General Lines
3/24/1999
8/15/2000
Inactive
TravCo Insurance Company
301828
Agent - Casualty
8/15/2000
7/1/2002
Inactive
TravCo Insurance Company
301828
Agent - General Lines
9/24/1999
8/15/2000
Inactive
TravCo Insurance Company
301828
Agent - Property
8/15/2000
7/1/2002
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Travelers Indemnity Company (The)
301855
Agent - General Lines
9/24/1999
8/15/2000
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
8/15/2000
7/1/2002
Inactive
Trumbull Insurance Company
300242
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Trumbull Insurance Company
300242
Agent - General Lines
3/18/1999
8/15/2000
Inactive
Trumbull Insurance Company
300242
Agent - Property
8/15/2000
7/1/2002
Inactive
Valley Forge Insurance Company
301052
Agent - General Lines
3/24/1999
8/15/2000
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
O'Brien Insurance Group Inc.
401118
Agent - General Lines
3/18/1999
8/15/2000
Inactive
O'Brien Insurance Group Inc.
401118
Agent - Life
8/10/1999
7/1/2002
Inactive
O'Brien Insurance Group Inc.
401118
Agent - Health
8/10/1999
7/1/2002
Inactive
O'Brien Insurance Group Inc.
401118
Agent - Property
8/15/2000
7/1/2002
Inactive
O'Brien Insurance Group Inc.
401118
Agent - Casualty
8/15/2000
7/1/2002
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