DEPARTMENT OF INSURANCE

Affiliations

Name	Powell, Mark Alan	DOIID	354306	NAIC NPN	7193365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/9/1993		6/30/2027
Active	Resident	Agent	Casualty	8/15/2000		6/30/2027
Active	Resident	Agent	Life	9/9/1993		6/30/2027
Active	Resident	Agent	Property	8/15/2000		6/30/2027
Inactive	Resident	Agent	General Lines	9/9/1993	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/03/2025	04/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/4/2001	8/15/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/4/2001	8/15/2018
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/17/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/17/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/21/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/21/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/10/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/10/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	7/10/2013	12/21/2015
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	7/10/2013	12/21/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/29/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012
Active	Dairyland Insurance Company	301370	Agent - Property	1/6/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	9/9/1993	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/8/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/8/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	9/9/1993	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/9/1993
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/9/1993
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	3/28/2002
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/17/2025
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	10/5/1993	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/5/1993
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	10/5/1993
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000
Active	Mark A Powell Insurance, Llc	800627	Agent - Life	1/3/2013
Active	Mark A Powell Insurance, Llc	800627	Agent - Health	1/3/2013
Active	Mark A Powell Insurance, Llc	800627	Agent - Property	1/3/2013
Active	Mark A Powell Insurance, Llc	800627	Agent - Casualty	1/3/2013
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	1/20/2005	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	1/20/2005	3/31/2007