DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fredricksen, Mark Dayne	DOIID	363164	NAIC NPN	254310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	8/31/2023
Inactive	Non Resident	Agent	Property	8/15/2000	1/31/2024
Inactive	Non Resident	Agent	General Lines	4/17/1998	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	AIG Property Casualty Company	300621	Agent - Casualty	12/17/2012	8/31/2023
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/17/2012	1/31/2024
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	3/3/2009	6/18/2019
Inactive	American Reliable Insurance Company	301889	Agent - Property	3/3/2009	6/18/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	6/17/2003	5/31/2019
Inactive	Great American Assurance Company	300327	Agent - Property	6/17/2003	5/31/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	6/17/2003	5/31/2019
Inactive	Great American Insurance Company	301586	Agent - Property	6/17/2003	5/31/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	6/17/2003	5/31/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	6/17/2003	5/31/2019
Inactive	Legion Insurance Company	301490	Agent - Casualty	8/15/2000	7/1/2003
Inactive	Legion Insurance Company	301490	Agent - General Lines	11/10/1998	8/15/2000
Inactive	Legion Insurance Company	301490	Agent - Property	8/15/2000	7/1/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	10/17/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	4/17/1998	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	10/17/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	10/17/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	4/17/1998	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	10/17/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hub International Ins Services Inc	609910	Agent - Property	11/20/2008	1/31/2024
Inactive	Hub International Ins Services Inc	609910	Agent - Casualty	11/20/2008	8/31/2023
Inactive	Mark D Fredricksen Ins Services Inc	509428	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Mark D Fredricksen Ins Services Inc	509428	Agent - Property	1/18/2007	2/23/2009
Inactive	Mark D Fredricksen Ins Services Inc	509428	Agent - Casualty	1/18/2007	2/23/2009
Inactive	Peterson, McAnally & Tabor Insurance Agency, Inc.	502293	Agent - General Lines	2/4/2000	8/15/2000
Inactive	Peterson, McAnally & Tabor Insurance Agency, Inc.	502293	Agent - Property	8/15/2000	1/30/2009
Inactive	Peterson, McAnally & Tabor Insurance Agency, Inc.	502293	Agent - Casualty	8/15/2000	1/30/2009