DEPARTMENT OF INSURANCE

Affiliations

Name	Weimer, Mark	DOIID	337649	NAIC NPN	1719082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/12/2024		3/31/2027
Active	Non Resident	Agent	Casualty	2/12/2024		3/31/2027
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	8/6/2002
Inactive	Non Resident	Agent	Health	6/24/2005	3/22/2007
Inactive	Non Resident	Agent	Life	6/24/2005	3/22/2007
Inactive	Resident	Agent	General Lines	3/5/1992	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	02/14/2025	02/14/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	7/6/2005	12/22/2006
Inactive	Middlesex Insurance Company	590568	Agent - Property	7/6/2005	12/22/2006
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	8/15/2000	8/6/2002
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	5/8/1992	8/15/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/5/1992	8/6/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/5/1992	8/6/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	3/14/2001	8/6/2002
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	8/6/2002
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	3/5/1992	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	8/6/2002
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	8/6/2002
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	3/5/1992	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	8/6/2002
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	8/6/2002
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	3/5/1992	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	8/6/2002
Inactive	Sentry Insurance Company	300222	Agent - Casualty	7/6/2005	12/22/2006
Inactive	Sentry Insurance Company	300222	Agent - Property	7/6/2005	12/22/2006
Inactive	Sentry Life Insurance Company	301461	Agent - Health	7/7/2005	12/22/2006
Inactive	Sentry Life Insurance Company	301461	Agent - Life	7/7/2005	12/22/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997