DEPARTMENT OF INSURANCE

Affiliations

Name	Ertel, Mark John	DOIID	327109	NAIC NPN	2209648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/1/1994		10/31/2025
Active	Non Resident	Agent	Health	4/9/1997		10/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001		10/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	6/5/1997	3/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/21/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/14/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/14/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	6/14/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	7/25/2019	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/31/2018
Active	Anthem Life Insurance Company	301209	Agent - Health	8/31/2018
Active	Anthem Life Insurance Company	301209	Agent - Life	8/31/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/15/2017	2/4/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/15/2017	2/4/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	8/15/2017	2/4/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	5/4/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	11/22/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	11/22/2011
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Continental Casualty Company	301019	Agent - Health	10/1/1999	11/29/2004
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/4/2015
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	12/13/2006	4/1/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	12/13/2006	4/1/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	12/13/2006	4/1/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	12/13/2006	4/1/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	12/13/2006	4/1/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	12/13/2006	4/1/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/19/2000	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/19/2000	12/23/2008
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/27/2016	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/27/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/30/2018	4/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/5/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	4/30/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Life	4/30/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/2/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/19/2013	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/27/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/27/2016	4/20/2018
Inactive	Independent Order of Foresters	300743	Agent - Health	5/2/2005	8/5/2005
Inactive	Independent Order of Foresters	300743	Agent - Life	5/2/2005	8/5/2005
Inactive	Independent Order of Foresters	300743	Agent - Variable Life and Variable Annuities	5/2/2005	8/5/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/5/2016	8/20/2018
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	10/5/2016	8/20/2018
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/16/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/16/2003	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	12/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/19/2013	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/19/2013	5/4/2015
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/6/2000	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/6/2000	11/25/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/15/2004	9/2/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/15/2004	9/2/2005
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	11/15/2004	9/2/2005
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/8/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/8/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/8/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/8/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/24/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/24/2019
Inactive		300277	Agent - Health	5/18/1999	2/3/2005
Inactive		300277	Agent - Life	5/18/1999	5/28/2002

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	12/7/1998	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/7/1998	6/21/2008
Denied	Berthel Fisher & Company Insurance Inc	678071	Agent - Life
Denied	Berthel Fisher & Company Insurance Inc	678071	Agent - Health
Denied	Berthel Fisher & Company Insurance Inc	678071	Agent - Variable Life and Variable Annuities
Active	Designated Agent Company Inc.	681257	Agent - Life	8/31/2018
Active	Designated Agent Company Inc.	681257	Agent - Health	8/31/2018