DEPARTMENT OF INSURANCE
Affiliations
NameKofalt, Mark TDOIID366693NAIC NPN1713316
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/25/1997 4/30/2026
ActiveNon ResidentAgentCasualty7/5/2006 4/30/2026
ActiveNon ResidentAgentHealth9/25/1997 4/30/2026
ActiveNon ResidentAgentProperty7/5/2006 4/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbility Insurance Company301013Agent - Health10/2/20005/31/2003
InactiveAbility Insurance Company301013Agent - Life10/2/20005/31/2003
ActiveAetna Health Inc. (PA)660717Agent - Health12/5/2013 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/5/2013 
ActiveAetna Life Insurance Company301140Agent - Life12/5/2013 
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/18/20219/15/2022
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty9/24/202212/29/2023
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property9/24/202212/29/2023
InactiveAmerican Commerce Insurance Company301665Agent - Casualty10/4/20167/13/2017
InactiveAmerican Commerce Insurance Company301665Agent - Property10/4/20167/13/2017
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/8/2019 
ActiveAmerican Economy Insurance Company300315Agent - Property11/8/2019 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/7/200810/15/2021
InactiveAmerican Fire and Casualty Company300567Agent - Property10/7/200810/15/2021
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty10/20/2015 
ActiveAmerican Modern Home Insurance Company300791Agent - Property10/20/2015 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/6/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/6/2019 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/20/201511/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/20/201511/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty10/20/201511/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property10/20/201511/14/2021
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health11/14/20104/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life11/14/20104/15/2025
InactiveBankers Life and Casualty Company300701Agent - Health1/21/199811/10/2000
InactiveBankers Life and Casualty Company300701Agent - Life1/21/199811/10/2000
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCombined Insurance Company of America301472Agent - Health1/10/20134/13/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health5/28/20136/15/2018
InactiveCompBenefits Insurance Company301864Agent - Health3/2/202112/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
InactiveConseco Health Insurance Company301725Agent - Health9/29/20064/24/2007
InactiveConseco Health Insurance Company301725Agent - Life9/29/20064/24/2007
InactiveConseco Insurance Company301202Agent - Health9/29/200610/1/2010
InactiveConseco Insurance Company301202Agent - Life9/29/200610/1/2010
InactiveConsolidated Insurance Company300943Agent - Casualty5/13/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property5/13/200810/13/2022
ActiveCoventry Health and Life Insurance Company301771Agent - Health11/19/2008 
InactiveDairyland Insurance Company301370Agent - Casualty5/15/20084/9/2024
InactiveDairyland Insurance Company301370Agent - Property5/15/20084/9/2024
InactiveDental Concern Inc. (The)301641Agent - Health5/28/20136/15/2018
InactiveEncompass Indemnity Company546376Agent - Casualty5/5/200810/3/2024
InactiveEncompass Indemnity Company546376Agent - Property5/5/200810/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty5/19/201112/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property5/19/201112/13/2018
InactiveEncova Life Insurance Company301818Agent - Life3/13/200912/27/2013
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/25/2008 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/25/2008 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health11/19/2008 
InactiveFirst National Insurance Company of America301690Agent - Casualty10/7/200810/15/2021
InactiveFirst National Insurance Company of America301690Agent - Property10/7/200810/15/2021
InactiveForethought Life Insurance Company301407Agent - Health12/30/201011/11/2014
InactiveForethought Life Insurance Company301407Agent - Life12/30/201011/11/2014
ActiveGEICO Marine Insurance Company590512Agent - Casualty5/7/2025 
ActiveGEICO Marine Insurance Company590512Agent - Property5/7/2025 
InactiveGeneral Insurance Company of America300261Agent - Casualty10/7/200810/15/2021
InactiveGeneral Insurance Company of America300261Agent - Property10/7/200810/15/2021
InactiveGenworth Life Insurance Company300623Agent - Health4/1/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/1/200912/7/2012
ActiveGerber Life Insurance Company300529Agent - Health12/8/2013 
ActiveGerber Life Insurance Company300529Agent - Life12/8/2013 
InactiveGolden Rule Insurance Company301943Agent - Health11/10/20116/19/2018
InactiveGolden Rule Insurance Company301943Agent - Life11/10/20116/19/2018
ActiveGrange Indemnity Insurance Company300793Agent - Casualty9/16/2009 
ActiveGrange Indemnity Insurance Company300793Agent - Property9/16/2009 
ActiveGrange Insurance Company300234Agent - Casualty9/16/2009 
ActiveGrange Insurance Company300234Agent - Property9/16/2009 
InactiveGrange Life Insurance Company300128Agent - Health9/16/20093/31/2021
InactiveGrange Life Insurance Company300128Agent - Life9/16/20093/31/2021
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty9/16/2009 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property9/16/2009 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health11/8/20121/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life11/8/20121/2/2019
InactiveGuideOne Elite Insurance Company300490Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Elite Insurance Company300490Agent - Property3/25/20081/21/2022
InactiveGuideOne Insurance Company301794Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Insurance Company301794Agent - Property3/25/20081/21/2022
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Specialty Insurance Company300278Agent - Property3/25/20081/21/2022
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/4/201412/23/2015
InactiveHartford Accident and Indemnity Company301917Agent - Property8/4/201412/23/2015
InactiveHartford Underwriters Insurance Company301064Agent - Casualty2/17/20158/15/2017
InactiveHartford Underwriters Insurance Company301064Agent - Property2/17/20158/15/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20146/15/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/28/20132/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/28/20136/15/2018
ActiveHumana Insurance Company301104Agent - Health12/5/2023 
InactiveHumana Insurance Company301104Agent - Life5/28/201312/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/28/20136/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/28/20136/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20146/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/2/201912/12/2024
InactiveIndiana Insurance Company301909Agent - Casualty5/13/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property5/13/20082/3/2023
InactiveKanawha Insurance Company300127Agent - Health5/28/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/28/201310/22/2015
InactiveKansas City Life Insurance Company301444Agent - Life3/25/200811/14/2016
InactiveMarquette National Life Insurance Company300117Agent - Health3/17/20089/13/2012
InactiveMarquette National Life Insurance Company300117Agent - Life3/17/20089/13/2012
InactiveMedico Corp Life Insurance Company301777Agent - Health9/21/20153/14/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life9/21/20153/14/2018
InactiveMedico Insurance Company301559Agent - Health8/28/201212/26/2018
InactiveMedico Insurance Company301559Agent - Life8/28/201212/26/2018
InactiveMedico Life and Health Insurance Company907406Agent - Health2/27/202112/21/2022
InactiveMedico Life and Health Insurance Company907406Agent - Life2/27/202112/21/2022
InactiveMetropolitan General Insurance Company300709Agent - Casualty4/25/200812/27/2013
InactiveMetropolitan General Insurance Company300709Agent - Property4/25/200812/27/2013
InactiveMutual of Omaha Insurance Company301012Agent - Health3/19/200812/26/2012
ActiveNational Specialty Insurance Company300993Agent - Casualty7/22/2022 
ActiveNational Specialty Insurance Company300993Agent - Property7/22/2022 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty5/13/20084/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property5/13/20084/26/2024
InactiveNext Insurance US Company1083825Agent - Casualty7/18/20224/29/2025
InactiveNext Insurance US Company1083825Agent - Property7/18/20224/29/2025
ActiveNorth American Company for Life and Health Insurance300291Agent - Life8/26/2020 
ActiveOhio Casualty Insurance Company301492Agent - Casualty10/7/2008 
ActiveOhio Casualty Insurance Company301492Agent - Property10/7/2008 
ActiveOhio Security Insurance Company300622Agent - Casualty10/7/2008 
ActiveOhio Security Insurance Company300622Agent - Property10/7/2008 
InactiveOmaha Insurance Company751908Agent - Health3/30/20126/24/2013
InactivePacifiCare Life and Health Insurance Company301304Agent - Health9/11/200911/3/2011
ActivePeerless Indemnity Insurance Company571682Agent - Casualty5/13/2008 
ActivePeerless Indemnity Insurance Company571682Agent - Property5/13/2008 
InactivePeerless Insurance Company301910Agent - Casualty5/13/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property5/13/20085/8/2025
InactiveProtective Life Insurance Company300638Agent - Health12/30/201511/23/2017
InactiveProtective Life Insurance Company300638Agent - Life12/30/201511/23/2017
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/7/2008 
ActiveSAFECO Insurance Company of America300159Agent - Property10/7/2008 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/7/2008 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property10/7/2008 
InactiveSentinel Insurance Company, Limited501696Agent - Casualty9/16/200812/12/2012
InactiveSentinel Insurance Company, Limited501696Agent - Property9/16/200812/12/2012
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health4/30/20014/13/2005
InactiveStandard Life and Accident Insurance Company301534Agent - Life4/30/20014/13/2005
InactiveStandard Security Life Insurance Company of NY301487Agent - Health4/10/200912/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/10/200912/26/2018
ActiveState National Insurance Company, Inc.300888Agent - Casualty7/22/2022 
ActiveState National Insurance Company, Inc.300888Agent - Property7/22/2022 
InactiveTrexis Insurance Corporation599902Agent - Casualty3/8/201010/16/2024
ActiveTrustgard Insurance Company300104Agent - Casualty9/16/2009 
ActiveTrustgard Insurance Company300104Agent - Property9/16/2009 
InactiveUnited American Insurance Company300910Agent - Health9/25/199712/5/1997
InactiveUnited American Insurance Company300910Agent - Life9/25/199712/5/1997
InactiveUnited World Life Insurance Company300532Agent - Health3/19/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/19/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/19/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/11/2009 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/9/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/24/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/24/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/8/20226/30/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/20/20206/30/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty1/28/201010/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property1/28/201010/23/2024
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty1/28/201012/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property1/28/201012/2/2013
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201810/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201810/23/2024
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/6/20116/22/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/6/20116/22/2017
InactiveWashington National Insurance Company300587Agent - Health10/1/201012/21/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/21/2010
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/31/201912/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/201912/29/2021
ActiveWest American Insurance Company301112Agent - Casualty10/7/2008 
ActiveWest American Insurance Company301112Agent - Property10/7/2008 
ActiveWest Bend Insurance Company672974Agent - Casualty4/22/2016 
ActiveWest Bend Insurance Company672974Agent - Property4/22/2016 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Life11/14/2010 
ActiveDesignated Agent Company Inc.681257Agent - Health11/14/2010 
ActivePremiere Senior Insurance Services Inc672379Agent - Life3/5/2008 
ActivePremiere Senior Insurance Services Inc672379Agent - Health3/5/2008 
ActivePremiere Senior Insurance Services Inc672379Agent - Property3/25/2008 
ActivePremiere Senior Insurance Services Inc672379Agent - Casualty3/25/2008 

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