DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shrack, Mark	DOIID	328881	NAIC NPN	239404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/1/2024		11/30/2027
Active	Non Resident	Agent	Casualty	8/1/2024		11/30/2027
Active	Non Resident	Agent	Life	8/1/2024		11/30/2027
Active	Non Resident	Agent	Property	8/1/2024		11/30/2027
* 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
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	8/26/2024
Active	AGCS Marine Insurance Company	300403	Agent - Property	8/26/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/22/2008	3/11/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/22/2008	3/11/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	1/24/1997	2/15/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/24/1997	2/15/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/20/1998	12/20/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/22/1995	6/22/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/22/1995	6/22/1999
Active	Markel Insurance Company	301475	Agent - Health	9/13/2024
Active	SiriusPoint America Insurance Company	301148	Agent - Health	1/8/2025
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	12/10/1998	7/29/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	12/10/1998	7/29/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Active	Gallagher Benefit Services Inc	525782	Agent - Health	9/27/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Casualty	9/27/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Property	9/27/2024