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	Casualty	8/15/2000		6/30/2025
Active	Resident	Agent	Life	9/9/1993		6/30/2025
Active	Resident	Agent	Property	8/15/2000		6/30/2025
Active	Resident	Agent	Health	9/9/1993		6/30/2025
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.

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 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
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
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
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