DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartlett, Mark Robert	DOIID	351891	NAIC NPN	511826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		2/28/2026
Active	Non Resident	Agent	Casualty	8/15/2000		2/28/2026
Inactive	Non Resident	Agent	General Lines	2/23/1995	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	Nationwide Assurance Company	300166	Agent - Casualty	10/6/2003	1/12/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	3/5/2014	1/12/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Property	3/5/2014	1/12/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	1/12/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	1/12/2022
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	1/12/2022
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	2/23/1995	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	1/12/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	1/12/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	2/23/1995	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	1/12/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	1/12/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	2/23/1995	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	1/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Property
Denied	Acrisure LLC	696181	Agent - Casualty
Inactive	Bartlett Ins Agency II Inc	981351	Agent - Property	1/12/2018	3/31/2024
Inactive	Bartlett Ins Agency II Inc	981351	Agent - Casualty	1/12/2018	3/31/2024