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DEPARTMENT OF INSURANCE
Affiliations
Name
Davis, Mark
DOIID
339927
NAIC NPN
771068
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
8/31/2026
Active
Non Resident
Agent
Health
5/23/1997
8/31/2026
Active
Non Resident
Agent
Life
5/23/1997
8/31/2026
* 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
06/15/2024
08/31/2024
07/05/2024
07/05/2024
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
ACE Property and Casualty Insurance Company
300520
Agent - Health
6/9/2024
Inactive
Accendo Insurance Company
300312
Agent - Health
9/10/2021
11/17/2023
Active
Accendo Insurance Company
300312
Agent - Life
10/24/2020
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
10/24/2020
Active
Allianz Life Insurance Company of North America
301791
Agent - Health
2/11/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
2/11/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
2/11/2014
Inactive
American Continental Insurance Company
643130
Agent - Life
10/24/2020
8/11/2021
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
1/24/2012
3/16/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
1/24/2012
3/16/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2012
11/25/2016
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/31/2012
11/25/2016
Active
Ameritas Life Insurance Corporation
300126
Agent - Health
12/31/2016
Active
Ameritas Life Insurance Corporation
300126
Agent - Life
12/31/2016
Active
Anthem Life Insurance Company
301209
Agent - Health
7/1/2006
Active
Anthem Life Insurance Company
301209
Agent - Life
7/1/2006
Inactive
Assurity Life Insurance Company
301099
Agent - Health
10/16/2014
12/27/2016
Inactive
Assurity Life Insurance Company
301099
Agent - Life
10/16/2014
12/27/2016
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
4/14/2006
6/10/2011
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
4/14/2006
6/10/2011
Inactive
Banner Life Insurance Company
301696
Agent - Life
4/8/2004
8/28/2015
Active
Brighthouse Life Insurance Company
301829
Agent - Health
7/27/2020
Active
Brighthouse Life Insurance Company
301829
Agent - Life
7/27/2020
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
7/27/2020
Active
CMFG Life Insurance Company
300929
Agent - Health
7/15/2020
Active
CMFG Life Insurance Company
300929
Agent - Life
7/15/2020
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
7/15/2020
Inactive
CSI Life Insurance Company
596032
Agent - Health
3/1/2019
10/7/2020
Active
CareSource Kentucky Co.
838179
Agent - Health
11/1/2019
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
11/13/2001
4/1/2007
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/8/2016
12/13/2016
Inactive
CompBenefits Insurance Company
301864
Agent - Health
4/25/2008
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
4/25/2008
7/2/2013
Inactive
Continental General Insurance Company
300691
Agent - Health
8/9/2018
1/25/2019
Inactive
Continental General Insurance Company
300691
Agent - Life
8/9/2018
1/25/2019
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
10/24/2020
Inactive
Delaware Life Insurance Company
301256
Agent - Life
7/15/2002
11/30/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
7/15/2002
11/30/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
5/8/2020
12/15/2020
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
5/23/1997
9/29/1998
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
5/23/1997
9/29/1998
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
11/8/2004
12/10/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
10/22/2004
12/10/2010
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Life
7/1/1997
9/29/1998
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
11/13/2001
10/28/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Health
10/20/2004
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/20/2004
1/1/2007
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/7/2002
12/8/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/7/2002
12/8/2004
Inactive
Genworth Life Insurance Company
300623
Agent - Health
9/22/2008
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
9/22/2008
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/7/2012
Active
Golden Rule Insurance Company
301943
Agent - Health
3/5/2021
Active
Golden Rule Insurance Company
301943
Agent - Life
3/5/2021
Active
Hartford Life and Accident Insurance Company
300878
Agent - Health
2/26/2018
Active
Hartford Life and Accident Insurance Company
300878
Agent - Life
2/26/2018
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
11/25/2019
4/8/2020
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
11/25/2019
4/8/2020
Active
Humana Health Plan, Inc.
300142
Agent - Health
4/30/2020
Inactive
Humana Insurance Company
301104
Agent - Health
11/25/2019
4/8/2020
Inactive
Humana Insurance Company
301104
Agent - Life
9/7/2018
4/29/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/11/2011
12/5/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
5/8/2020
12/15/2020
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
11/25/2019
4/8/2020
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
11/25/2019
4/8/2020
Inactive
HumanaDental Insurance Company
301457
Agent - Health
7/11/2012
12/19/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
7/11/2012
12/19/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
2/25/1999
1/23/2003
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
2/25/1999
1/23/2003
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
7/14/2020
5/20/2024
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
7/14/2020
5/20/2024
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/3/2004
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/3/2004
6/7/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/12/2011
4/23/2014
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
12/12/2011
4/23/2014
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
3/3/2004
12/11/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/11/2016
8/9/2018
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/11/2016
8/9/2018
Inactive
Liberty Life Insurance Company
301542
Agent - Health
3/21/2006
6/30/2006
Inactive
Liberty Life Insurance Company
301542
Agent - Life
3/21/2006
6/30/2006
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/23/2004
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/23/2004
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
6/23/2004
Active
MEMBERS Life Insurance Company
301289
Agent - Health
7/15/2020
Active
MEMBERS Life Insurance Company
301289
Agent - Life
7/15/2020
Active
MEMBERS Life Insurance Company
301289
Agent - Variable Life and Variable Annuities
7/15/2020
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
10/15/1998
1/31/2005
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
10/15/1998
1/31/2005
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
5/31/2001
1/31/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
8/24/2015
7/24/2016
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
4/14/2005
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
4/14/2005
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/14/2005
11/16/2006
Inactive
Pacific Life Insurance Company
301848
Agent - Health
6/15/2004
12/8/2017
Inactive
Pacific Life Insurance Company
301848
Agent - Life
6/15/2004
1/7/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/15/2004
1/7/2014
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
3/30/1998
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
3/30/1998
8/24/2000
Active
Principal National Life Insurance Company
301926
Agent - Life
6/4/2015
Active
Professional Insurance Company
301281
Agent - Health
6/28/1999
Active
Professional Insurance Company
301281
Agent - Life
6/28/1999
Active
Protective Life Insurance Company
300638
Agent - Health
5/6/2020
Active
Protective Life Insurance Company
300638
Agent - Life
5/6/2020
Active
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
5/6/2020
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
3/30/1998
11/10/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
3/30/1998
11/10/2004
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/11/2016
12/24/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
7/9/2013
2/3/2017
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
7/9/2013
2/3/2017
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
7/9/2013
2/3/2017
Inactive
Security Life Insurance Company of America
300936
Agent - Health
2/24/2015
12/31/2016
Inactive
Security Life Insurance Company of America
300936
Agent - Life
2/24/2015
12/31/2016
Inactive
Standard Insurance Company
300185
Agent - Health
5/10/2001
6/9/2004
Inactive
Standard Insurance Company
300185
Agent - Life
5/10/2001
6/9/2004
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
8/22/2017
12/26/2018
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
8/22/2017
12/26/2018
Inactive
State Life Insurance Company
301497
Agent - Health
10/11/2016
6/8/2023
Inactive
State Life Insurance Company
301497
Agent - Life
10/11/2016
6/8/2023
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
3/20/2012
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
3/20/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
1/8/2008
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
1/8/2008
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
1/8/2008
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
1/8/2008
12/21/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
1/8/2008
12/21/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
1/8/2008
12/21/2015
Active
Transamerica Life Insurance Company
300571
Agent - Life
4/7/2011
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/7/2011
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
6/15/2004
12/15/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
6/15/2004
12/15/2004
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
1/11/2012
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
1/11/2012
12/26/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/14/2002
6/7/2021
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
10/14/2002
6/7/2021
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/13/2016
12/21/2018
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/30/2015
11/4/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/30/2015
11/4/2016
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
2/27/2001
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
5/31/2016
12/5/2016
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
5/31/2016
1/18/2019
Active
WellCare Health Plans of Kentucky, Inc.
838592
Agent - Health
8/12/2021
Inactive
300277
Agent - Life
6/21/2003
12/21/2006
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
7/10/2006
6/21/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
7/10/2006
6/21/2008
Active
Designated Agent Company Inc.
681257
Agent - Life
6/28/2008
Active
Designated Agent Company Inc.
681257
Agent - Health
6/28/2008
Active
LPL FINANCIAL LLC
399327
Agent - Life
7/16/2020
Active
LPL FINANCIAL LLC
399327
Agent - Health
7/16/2020
Active
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
7/16/2020
Inactive
Medlink Inc
400721
Agent - Health
9/24/2002
3/31/2024
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