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.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
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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