DEPARTMENT OF INSURANCE

Affiliations

Name	Whitehead, Mark Edward	DOIID	360234	NAIC NPN	44592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/2/2002	7/31/2009
Inactive	Resident	Agent	Health	8/2/2002	7/31/2009
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/2/2002	7/31/2009
* 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
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Health	8/27/2001	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/28/1998	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	8/27/2001	7/1/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/4/1996	7/1/2002
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	3/15/1995	7/1/2002
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/16/2002	7/31/2009
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	9/16/2002	7/31/2009
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	4/17/1996	7/1/2002
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/21/2005	1/4/2007
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	10/21/2005	1/4/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/13/2002	7/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/13/2002	7/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	9/13/2002	7/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/27/2002	7/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/27/2002	7/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	9/27/2002	7/31/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/13/2002	7/31/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	9/13/2002	7/31/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/13/2002	7/31/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	9/13/2002	7/31/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/16/2002	9/27/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/16/2002	9/27/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	9/16/2002	9/27/2008
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	12/7/1994	7/1/2002
Inactive	Security Benefit Life Insurance Company	300583	Agent - Variable Life and Variable Annuities	3/29/2001	7/1/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/21/1996	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/21/1996	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	4/12/2001	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/25/2002	12/24/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/25/2002	12/24/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	9/25/2002	12/24/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/25/2002	12/24/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/25/2002	12/24/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	9/25/2002	12/24/2008
Inactive	Union Security Insurance Company	301844	Agent - Life	3/7/1995	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	8/27/2001	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	4/28/1998	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	8/27/2001	7/1/2002
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	6/15/2001	7/1/2002
Inactive	Zurich American Life Insurance Company	300216	Agent - Variable Life and Variable Annuities	6/15/2001	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Donahue Securities Inc.	398694	Agent - Life	5/16/1996	7/1/2002
Inactive	Securities America Inc.	400225	Agent - Life	1/27/2009	7/31/2009
Inactive	Securities America Inc.	400225	Agent - Health	1/27/2009	7/31/2009
Inactive	Securities America Inc.	400225	Agent - Variable Life and Variable Annuities	1/27/2009	7/31/2009