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
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