DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Mark Allan	DOIID	359311	NAIC NPN	890547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		2/28/2026
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Life	10/10/1994		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Active	Resident	Agent	Health	10/10/1994		2/28/2026
Inactive	Resident	Agent	General Lines	2/29/2000	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/3/2018
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/3/2018
Active	American General Life Insurance Company	301585	Agent - Life	10/14/2020
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	10/14/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/9/2012
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	11/9/2012
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	8/19/2016	5/14/2019
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/25/2005	1/1/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/14/2003	10/16/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/14/2003	10/16/2016
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/28/2004	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/28/2004	12/12/2008
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	1/18/2018
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/20/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/27/2005	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/27/2005	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	2/19/2014	12/26/2023
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	5/5/2015	12/26/2023
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/14/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/14/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	3/14/2007	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/14/2005	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/14/2005	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	3/14/2007	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/11/2002	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/11/2002	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/26/2016	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/26/2016	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	8/25/2016	12/29/2020
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	4/11/2002	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/11/2002	12/11/2006
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/11/2022
Inactive	LM General Insurance Company	300133	Agent - General Lines	2/29/2000	8/15/2000
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/11/2022
Active	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010
Active	LM Insurance Corporation	301061	Agent - Property	3/19/2010
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Casualty	8/15/2000	1/22/2008
Inactive	LM Property and Casualty Insurance Company	301658	Agent - General Lines	2/29/2000	8/15/2000
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Property	8/15/2000	1/22/2008
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/14/2003	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/14/2003	11/11/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/14/2003
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/14/2003
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/14/2003	10/16/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/14/2003	10/16/2020
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	4/15/2019
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	4/15/2019
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/29/2008	12/17/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/29/2008	12/17/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	9/29/2008	1/26/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/26/2004	10/29/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/26/2004	10/29/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/10/2011	10/29/2018
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	10/27/2020	12/10/2022
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/3/2005
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/3/2005
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/26/1996	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/26/1996	3/31/2001
Active	Minnesota Life Insurance Company	300488	Agent - Health	11/7/2018
Active	Minnesota Life Insurance Company	300488	Agent - Life	11/7/2018
Active	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	11/7/2018
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	9/25/1995	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	9/25/1995	12/11/2002
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/9/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/9/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/21/1997	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/21/1997	12/30/2009
Active	Pruco Life Insurance Company	300954	Agent - Health	10/10/1994
Active	Pruco Life Insurance Company	300954	Agent - Life	10/10/1994
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	5/31/2001
Active	Prudential Insurance Company of America	300784	Agent - Health	5/8/1998
Active	Prudential Insurance Company of America	300784	Agent - Life	5/8/1998
Active	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	5/31/2001
Inactive	Standard Insurance Company	300185	Agent - Health	5/2/2018	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	5/2/2018	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	5/2/2018	5/9/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/10/2012	8/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/3/2011
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/21/2005	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/13/1999	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/13/1999	12/30/2009
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	8/30/2005	8/18/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	LPL Enterprise, LLC	1333130	Agent - Life	11/25/2024
Active	LPL Enterprise, LLC	1333130	Agent - Health	11/25/2024
Active	LPL Enterprise, LLC	1333130	Agent - Variable Life and Variable Annuities	11/25/2024
Inactive	Legacy Financial Group, LLC	626268	Agent - Life	2/24/2006	3/31/2008
Inactive	Legacy Financial Group, LLC	626268	Agent - Health	2/24/2006	3/31/2008
Inactive	Legacy Financial Group, LLC	626268	Agent - Variable Life and Variable Annuities	2/24/2006	3/31/2008
Active	Prudential Insurance Agency LLC	620187	Agent - Life	9/27/2021
Active	Prudential Insurance Agency LLC	620187	Agent - Health	9/27/2021
Active	Prudential Insurance Agency LLC	620187	Agent - Variable Life and Variable Annuities	9/27/2021
Active	Prudential Insurance Agency LLC	620187	Agent - Property	9/27/2021
Active	Prudential Insurance Agency LLC	620187	Agent - Casualty	9/27/2021