DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nordstrom, Mark E	DOIID	359221	NAIC NPN	77224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/26/2016		8/31/2024
Inactive	Non Resident	Agent	Life	11/3/2011	8/31/2014
Inactive	Non Resident	Agent	General Lines	4/22/1996	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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Health	11/9/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Health	11/21/2016	11/1/2022
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	4/22/1996	8/15/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	11/14/2000	7/29/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	11/14/2000	12/27/2004
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/16/2012	8/31/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/5/2012	8/31/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/23/2001	11/3/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/23/2001	11/3/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis General Insurance Agency Inc	609072	Agent - Health	2/27/2017	7/7/2023
Inactive	Monarch Management Corporation	398150	Agent - Life	2/25/2004	2/23/2007
Inactive	Monarch Management Corporation	398150	Agent - Health	2/25/2004	2/23/2007