DEPARTMENT OF INSURANCE

Affiliations

Name	Bain, Mark Alan	DOIID	340808	NAIC NPN	1486808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/9/2022		5/31/2026
Active	Non Resident	Agent	Life	1/9/2022		5/31/2026
Inactive	Non Resident	Agent	Property	10/13/2013	5/31/2020
Inactive	Non Resident	Agent	Casualty	10/13/2013	5/31/2020
Inactive	Resident	Agent	General Lines	12/26/1996	8/15/2000
* 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
Inactive	AAA Life Insurance Company	300287	Agent - Health	12/9/2022	8/10/2023
Inactive	AAA Life Insurance Company	300287	Agent - Life	12/9/2022	8/10/2023
Inactive	Ability Insurance Company	301013	Agent - Health	1/8/2002	7/1/2002
Inactive	Ability Insurance Company	301013	Agent - Life	1/8/2002	7/1/2002
Inactive	American General Life Insurance Company	301585	Agent - Health	8/1/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	8/1/2017	12/23/2019
Inactive	American National General Insurance Company	301944	Agent - Casualty	10/15/2013	11/9/2014
Inactive	American National General Insurance Company	301944	Agent - Property	10/15/2013	11/9/2014
Inactive	American National Insurance Company	301861	Agent - Life	10/4/2013	11/9/2014
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	10/15/2013	11/9/2014
Inactive	American National Property and Casualty Company	300392	Agent - Property	10/15/2013	11/9/2014
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/10/2017	2/28/2018
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/12/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/12/1995	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	2/6/2002	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	2/6/2002	7/1/2002
Inactive	Continental Casualty Company	301019	Agent - Health	11/21/1997	7/1/1998
Inactive	Countryway Insurance Company	300809	Agent - General Lines	12/26/1996	7/1/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/21/2022	12/23/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/26/2014	1/20/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/26/2014	1/20/2015
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	11/2/1995	7/1/1998
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	11/9/2022	8/10/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	11/9/2022	8/10/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/10/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/10/1995	3/31/1997
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	1/9/2002	7/1/2002
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	1/9/2002	7/1/2002
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/2/2022	3/7/2023
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	12/15/1997	7/1/1998
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	1/14/1997	7/1/1998
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	1/14/1997	7/1/1998
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	9/18/2014	2/9/2015
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	9/18/2014	2/9/2015
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	12/18/1997	7/1/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/25/1996	3/9/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/25/1996	3/9/1998
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	11/12/1998	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	12/14/1998	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	12/14/1998	8/15/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/19/1995	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/19/1995	7/1/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/16/1997	7/1/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/16/1997	7/1/1998
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/16/2002	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/16/2002	7/1/2002
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	12/8/1999	7/1/2002
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	12/8/1999	7/1/2002
Inactive	Transamerica Financial Life Insurance Company	301288	Agent - Health	12/28/1995	7/1/1998
Inactive	Transamerica Financial Life Insurance Company	301288	Agent - Life	12/28/1995	7/1/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	9/5/1995	7/1/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	9/5/1995	7/1/1998
Inactive	United American Insurance Company	300910	Agent - Health	10/10/2001	2/5/2002
Inactive	United American Insurance Company	300910	Agent - Life	10/10/2001	2/5/2002
Inactive	United Investors Life Insurance Company	301873	Agent - Life	11/5/2001	2/5/2002
Active	United of Omaha Life Insurance Company	300156	Agent - Health	10/28/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	10/28/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/29/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/29/1994	3/31/1997
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	9/10/1999	7/1/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	9/10/1999	7/1/2002
Inactive	Western Surety Company	300283	Agent - General Lines	12/23/1998	5/27/1999
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	6/12/1995	7/1/1998

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	7/1/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/1998
Inactive	CCIT Insurance Services, LLC	541200	Agent - Life	12/20/2001	6/6/2002
Inactive	CCIT Insurance Services, LLC	541200	Agent - Health	12/20/2001	6/6/2002
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	10/8/2014	2/26/2015
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	10/8/2014	2/26/2015
Inactive	Senior American Benefits, LLC	502287	Agent - Life	12/20/2001	7/1/2002
Inactive	Senior American Benefits, LLC	502287	Agent - Health	12/20/2001	7/1/2002
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	7/1/2002
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	7/1/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	10/23/1997	7/1/1998
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	10/23/1997	7/1/1998