DEPARTMENT OF INSURANCE

Affiliations

Name	Bruckert, Mark Allan	DOIID	330379	NAIC NPN	764005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/31/1975		6/30/2025
Active	Resident	Agent	Casualty	8/15/2000		6/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		6/30/2025
Active	Resident	Agent	Health	12/13/1976		6/30/2025
Active	Resident	Agent	Property	8/15/2000		6/30/2025
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	6/24/1975	8/15/2000
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/23/2020
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/23/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	2/17/2013	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	2/17/2013	11/9/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	2/14/2005
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	6/26/1998	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	2/14/2005
Active	American Economy Insurance Company	300315	Agent - Casualty	8/20/2010
Inactive	American Economy Insurance Company	300315	Agent - General Lines	7/31/1995	3/31/1998
Active	American Economy Insurance Company	300315	Agent - Property	8/20/2010
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	10/19/1988	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008
Active	American Fire and Casualty Company	300567	Agent - Property	10/7/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/1/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/1/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/1/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/1/2015	11/14/2021
Active	American States Insurance Company	301230	Agent - Casualty	8/20/2010
Inactive	American States Insurance Company	301230	Agent - General Lines	8/7/1995	3/31/1998
Active	American States Insurance Company	301230	Agent - Property	8/20/2010
Inactive	American States Life Insurance Company	301884	Agent - Health	7/31/1995	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	7/31/1995	11/26/2001
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	7/31/1995	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/17/1998	1/15/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/17/1998	1/15/2009
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/14/2018	12/19/2019
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	12/16/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	12/16/2014
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	5/19/2008
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/13/2022
Active	Bristol West Insurance Company	301655	Agent - Property	5/13/2022
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	7/1/2014	12/11/2023
Inactive	Celtic Insurance Company	300877	Agent - Health	3/29/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	3/29/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/26/2005	8/10/2005
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	7/25/2019
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/6/2011	4/14/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	4/26/2024
Inactive	Continental Casualty Company	301019	Agent - Casualty	10/31/2002	2/14/2005
Inactive	Continental Casualty Company	301019	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	10/31/2002	2/14/2005
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/8/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/23/2018	12/10/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/26/2004	3/22/2006
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/26/2004	3/22/2006
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/3/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/3/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/20/2010	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - Property	8/20/2010	4/26/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/13/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/13/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/13/2012	2/27/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/13/2012	2/27/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/13/2012	2/27/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/13/2012	2/27/2014
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	11/2/1999	8/22/2005
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	1/2/2003	8/22/2005
Active	General Insurance Company of America	300261	Agent - Casualty	8/20/2010
Active	General Insurance Company of America	300261	Agent - Property	8/20/2010
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/18/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/18/2005	12/13/2012
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/23/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/23/2007
Active	Grange Insurance Company	300234	Agent - Casualty	1/23/2007
Active	Grange Insurance Company	300234	Agent - Property	1/23/2007
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/23/2007	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/23/2007	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/1/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/1/2008
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/14/2018	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/25/2018	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/14/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/11/2018	4/7/2020
Inactive	Humana Insurance Company	301104	Agent - Life	5/11/2018	4/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/6/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/6/2011	4/14/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/14/2018	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/14/2018	12/19/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	8/30/1994	8/15/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	10/31/1975	12/28/1998
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/11/2013	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/11/2013	4/14/2014
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	4/22/2003	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	4/22/2003	12/16/2004
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/26/1976	11/30/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/5/1995	3/17/2000
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/5/1995	3/17/2000
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	12/16/2014
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	6/24/1975	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	3/10/2004
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	10/21/1998	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	3/10/2004
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/16/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/16/1997	3/31/2001
Active	Milbank Insurance Company	925185	Agent - Casualty	1/13/2021
Active	Milbank Insurance Company	925185	Agent - Property	1/13/2021
Inactive	National Casualty Company	301483	Agent - Health	12/13/1976	2/20/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	2/14/2005
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	6/26/1998	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	2/14/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/6/1996	8/27/2007
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/6/1996	8/27/2007
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	12/16/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/3/1999	8/15/2000
Active	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008
Inactive	Omni Insurance Company	301545	Agent - General Lines	5/15/1990	3/31/2000
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/10/2011	10/31/2011
Inactive	Pacific Life Insurance Company	301848	Agent - Health	8/12/2002	8/22/2005
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/12/2002	8/22/2005
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	8/12/2002	8/22/2005
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/7/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/16/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/16/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/20/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/20/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/20/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/20/2010
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/5/2022
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/5/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/8/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/15/1990	8/15/2000
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	12/8/2020
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	2/14/2005
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	2/14/2005
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	2/14/2005
Inactive	Transportation Insurance Company	301575	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	2/14/2005
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	8/15/2001
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	8/15/2001
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/23/2007
Active	Trustgard Insurance Company	300104	Agent - Property	1/23/2007
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/26/1991	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/26/1991	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	6/22/1998	9/4/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/22/1998	10/18/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	7/21/1999	11/12/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/10/2011	5/13/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/10/2011	5/13/2013
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	2/14/2005
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	2/14/2005
Inactive	Vesta Fire Insurance Corporation	300828	Agent - General Lines	3/23/1993	6/23/1997
Active	West American Insurance Company	301112	Agent - Casualty	10/7/2008
Active	West American Insurance Company	301112	Agent - Property	10/7/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/25/2006	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	3/1/2004	11/3/2005
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	3/1/2004	11/3/2005
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	3/1/2004	11/3/2005
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	12/22/2008
Inactive	Western Surety Company	300283	Agent - General Lines	9/9/1991	8/15/2000
Inactive		300277	Agent - Life	11/11/2002	12/18/2006

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	6/25/1996	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/20/2008
Inactive	Audubon Insurance Service Inc.	398441	Agent - General Lines	4/9/1981	8/15/2000
Active	Audubon Insurance Service Inc.	398441	Agent - Life	6/11/2021
Active	Audubon Insurance Service Inc.	398441	Agent - Health	6/11/2021
Active	Audubon Insurance Service Inc.	398441	Agent - Property	6/11/2021
Active	Audubon Insurance Service Inc.	398441	Agent - Casualty	6/11/2021
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Fusting & Dugan Insurance LLC	620778	Agent - Life	1/22/2007
Active	Fusting & Dugan Insurance LLC	620778	Agent - Health	1/22/2007
Active	Fusting & Dugan Insurance LLC	620778	Agent - Property	1/22/2007
Active	Fusting & Dugan Insurance LLC	620778	Agent - Casualty	1/22/2007
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Louisville Ins Network Inc	398644	Agent - General Lines	4/1/1998	8/15/2000
Inactive	Louisville Ins Network Inc	398644	Agent - Life	8/26/2004	6/26/2007
Inactive	Louisville Ins Network Inc	398644	Agent - Property	8/15/2000	6/26/2007
Inactive	Louisville Ins Network Inc	398644	Agent - Casualty	8/15/2000	6/26/2007
Inactive	Medlink Inc	400721	Agent - Life	1/6/2009	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	1/6/2009	3/31/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	9/21/2005
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	9/21/2005
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	8/9/2001	9/21/2005
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	6/25/1997	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	3/3/2000	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Variable Life and Variable Annuities	4/30/2001	12/16/2002