DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartman, Mark Edward	DOIID	376000	NAIC NPN	4634165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	1/3/2002	6/29/2009
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/22/1999	6/30/1999
Inactive	Non Resident	Independent Adjuster	Property & Casualty	8/21/2014	11/30/2015
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/24/2009	8/21/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Erie Insurance Company	300230	Adjuster - Independent	5/12/2003	1/22/2004
Inactive	Indiana Insurance Company	301909	Adjuster - Independent	1/22/2004	6/29/2009
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	1/3/2002	5/12/2003
Inactive	SAFECO Insurance Company of America	300159	Staff Adjuster - Property & Casualty	11/30/2009	8/21/2014

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wisthoff, Elliott	645315	Apprentice Adjuster - Not Applicable	12/1/2006	12/1/2007

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fisher, Michael Douglas	333946	Apprentice Adjuster - Not Applicable	2/22/1999	6/30/1999