DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vanderhagen, Mark David	DOIID	320542	NAIC NPN	695280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/11/1996	4/30/2006
Inactive	Non Resident	Agent	Life	3/11/1996	4/30/2006
* 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	First Colony Life Insurance Company	301179	Agent - Life	2/12/1998	7/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/11/1996	12/31/1998
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/11/1996	12/31/1998
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/11/1996	12/31/1998
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/11/1996	12/31/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/11/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/11/1996	1/2/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LPL FINANCIAL LLC	399327	Agent - Life	5/21/1997	7/14/2004
Inactive	LPL FINANCIAL LLC	399327	Agent - Health	5/21/1997	1/2/2003