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	Life	8/1/2024		11/30/2025
Active	Non Resident	Agent	Casualty	8/1/2024		11/30/2025
Active	Non Resident	Agent	Property	8/1/2024		11/30/2025
Active	Non Resident	Agent	Health	8/1/2024		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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