DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gold, Mark Charles	DOIID	310081	NAIC NPN	1498738

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	10/30/1997	3/1/2001
Inactive	Resident	Agent	Health	1/10/2012	7/6/2015
Inactive	Resident	Agent	Life	1/10/2012	7/6/2015
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/10/2012	7/6/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/30/1997	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/10/2012	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/10/2012	7/6/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/10/2012	7/6/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/20/2013	11/19/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/20/2013	11/19/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/17/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/17/1998	2/28/2003