DEPARTMENT OF INSURANCE
Affiliations
NameNantz, Mark WDOIID323629NAIC NPN1474273
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPrepaid Dental Plan7/31/20003/1/2001 
InactiveNon ResidentAgentLife3/17/19938/15/2022 
InactiveNon ResidentAgentHealth3/17/19938/15/2022 
InactiveNon ResidentAgentHealth Maintenance Organization11/20/19963/1/2001 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20018/15/2022 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization8/7/20003/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/200712/8/2011
InactiveAetna Life Insurance Company301140Agent - Health6/11/199812/8/2011
InactiveAetna Life Insurance Company301140Agent - Life6/11/199812/8/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/2/19969/21/1998
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life10/2/19969/21/1998
InactiveAmerican General Life Insurance Company301585Agent - Life9/3/200212/6/2002
InactiveAthene Annuity and Life Company301893Agent - Life7/6/200110/12/2005
InactiveBanner Life Insurance Company301696Agent - Life8/3/20018/9/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Health2/12/20079/16/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life2/12/20079/16/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/31/20014/1/2007
InactiveColorado Bankers Life Insurance Company301845Agent - Health2/8/200112/15/2003
InactiveColorado Bankers Life Insurance Company301845Agent - Life2/8/200112/15/2003
InactiveCompBenefits Dental, Inc.591692Agent - Health3/17/20153/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health3/20/20127/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/20/20127/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health5/14/20087/18/2011
InactiveCompanion Life Insurance Company300191Agent - Life5/14/20087/18/2011
InactiveDental Care Plus Inc.301495Agent - Health12/12/20078/15/2022
InactiveDental Concern Inc. (The)301641Agent - Health6/17/20029/12/2022
InactiveDentiCare, Inc.300655Agent - Health3/1/200111/1/2005
InactiveDentiCare, Inc.300655Agent - Prepaid Dental Plan7/31/20003/1/2001
InactiveEmphesys Insurance Company300598Agent - Health8/22/19953/31/1999
InactiveEmphesys Insurance Company300598Agent - Life8/22/19953/31/1999
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life8/31/200110/28/2008
InactiveFirst Colony Life Insurance Company301179Agent - Health4/25/20017/14/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life4/25/20017/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health4/2/200112/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life4/2/200112/26/2008
InactiveGuardian Life Insurance Company of America301316Agent - Health2/12/200710/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life2/12/200710/5/2021
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20019/12/2022
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization11/20/19963/1/2001
InactiveHumana Insurance Company301104Agent - Health8/19/19949/12/2022
InactiveHumana Insurance Company300118Agent - Health9/5/199612/31/1998
InactiveHumana Insurance Company301104Agent - Life8/19/19949/12/2022
InactiveHumana Insurance Company300118Agent - Life9/5/199612/31/1998
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/20049/12/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/20049/12/2022
InactiveHumanaDental Insurance Company301457Agent - Health10/16/20015/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health10/8/19961/27/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/8/19961/27/2003
InactiveKanawha Insurance Company300127Agent - Health4/11/200812/5/2014
InactiveKanawha Insurance Company300127Agent - Life4/11/200812/5/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health9/23/200412/18/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life9/23/200412/18/2012
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life2/25/199812/6/2002
InactivePaul Revere Life Insurance Company300971Agent - Health12/27/19948/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life12/27/199412/7/2005
InactivePioneer Life Insurance Company300110Agent - Health12/19/19958/18/2003
InactivePioneer Life Insurance Company300110Agent - Life12/19/19958/18/2003
InactivePrincipal Life Insurance Company300129Agent - Health7/9/199912/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life7/9/199912/8/2008
InactiveProtective Life Insurance Company300638Agent - Health6/9/200012/29/2003
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/10/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/28/199912/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/28/199912/11/2002
InactivePruco Life Insurance Company300954Agent - Health3/17/19932/26/1996
InactivePruco Life Insurance Company300954Agent - Life3/17/19932/26/1996
InactivePrudential Insurance Company of America300784Agent - Health3/17/19932/26/1996
InactivePrudential Insurance Company of America300784Agent - Life3/17/19932/26/1996
InactiveSagicor Life Insurance Company300459Agent - Life9/10/199912/27/2000
InactiveShenandoah Life Insurance Company300130Agent - Health5/21/20019/30/2005
InactiveShenandoah Life Insurance Company300130Agent - Life5/21/20019/30/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/4/20019/28/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/20019/28/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/31/20019/28/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/20019/28/2007
InactiveTime Insurance Company300683Agent - Health4/24/199512/20/2014
InactiveTime Insurance Company300683Agent - Life4/24/199512/20/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health10/7/199912/7/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life10/7/199912/7/2005
InactiveUnion Security Insurance Company301844Agent - Health5/12/20041/13/2015
InactiveUnion Security Insurance Company301844Agent - Life5/12/20041/13/2015
InactiveUnion Security Insurance Company301844Agent - Variable Life and Variable Annuities4/13/200111/24/2003
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/21/199911/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/21/199911/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/15/19993/1/2001
InactiveWest Coast Life Insurance Company301607Agent - Life4/16/200110/28/2002
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health7/22/200411/8/2013
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveKnapp Miller Brown Ins Services Inc654435Agent - Life11/14/20178/15/2022
InactiveKnapp Miller Brown Ins Services Inc654435Agent - Health11/14/20178/15/2022
InactiveMedlink Inc400721Agent - Life4/12/20078/15/2022
InactiveMedlink Inc400721Agent - Health4/12/20078/15/2022
InactivePlanchoice Inc.400482Agent - Life3/5/20038/15/2022
InactivePlanchoice Inc.400482Agent - Health3/5/20038/15/2022

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