DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Mark Siler	DOIID	377504	NAIC NPN	5933594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/2/2008		8/31/2026
Active	Resident	Agent	Casualty	12/2/2008		8/31/2026
Active	Resident	Agent	Property	12/2/2008		8/31/2026
Active	Resident	Agent	Health	12/2/2008		8/31/2026
Inactive	Resident	Agent	General Lines	6/20/1974	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/17/2024	06/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/15/2018	10/31/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/15/2018	10/31/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	11/3/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	7/9/1999	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	11/3/2005
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/17/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/17/2020
Inactive	Ascot Insurance Company	301516	Agent - Casualty	12/29/2000	1/30/2004
Inactive	Ascot Insurance Company	301516	Agent - Property	12/29/2000	1/30/2004
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/10/2008
Active	Bristol West Insurance Company	301655	Agent - Property	12/10/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/22/2008	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/22/2008	8/20/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/5/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/5/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/24/1986	3/31/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/24/1986	3/31/2008
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/5/2008
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/5/2008
Active	Grange Insurance Company	300234	Agent - Casualty	12/5/2008
Inactive	Grange Insurance Company	300234	Agent - General Lines	5/8/1985	8/15/2000
Active	Grange Insurance Company	300234	Agent - Property	12/5/2008
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/5/2008	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/5/2008	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/5/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/5/2008
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	10/9/2001
Inactive	Great American Insurance Company	301586	Agent - General Lines	11/12/1997	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	10/9/2001
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000	12/6/2004
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	6/23/1998	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000	12/6/2004
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	12/6/2004
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	6/23/1998	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	12/6/2004
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	6/23/1998	2/8/2001
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	6/23/1998	2/8/2001
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	12/6/2004
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	6/23/1998	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	12/6/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/20/2013	12/17/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	6/20/1974	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/20/2013	12/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/10/2008	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/21/1978	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/10/2008	12/23/2015
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	12/10/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/20/1974	8/15/2000
Active	Hartford Fire Insurance Company	300628	Agent - Property	12/10/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/10/2021	7/21/2023
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/15/1986	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/10/2021	7/21/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	1/27/2022	7/21/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Property	1/27/2022	7/21/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/1/2021
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/28/1989	8/15/2000
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	9/1/2021
Inactive	Humana Insurance Company	301104	Agent - Health	2/19/1991	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/1991	3/2/1999
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	8/15/2000
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	11/29/2000	8/31/2008
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	11/29/2000	8/31/2008
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/11/1986	11/9/1996
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/11/1986	11/9/1996
Inactive	National Farmers Union Property and Casualty Company	300835	Agent - Casualty	12/27/2000	3/31/2004
Inactive	National Farmers Union Property and Casualty Company	300835	Agent - Property	12/27/2000	3/31/2004
Inactive	Omni Indemnity Company	301456	Agent - Casualty	1/9/2002	8/31/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	1/9/2002	8/31/2008
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/18/1997	3/31/2000
Inactive	Seneca Insurance Company Inc.	301762	Agent - Casualty	8/20/2012	2/24/2022
Inactive	Seneca Insurance Company Inc.	301762	Agent - Property	8/20/2012	2/24/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/25/2016	8/16/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	5/25/2016	8/16/2017
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	12/22/2008	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	12/22/2008	8/20/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	1/19/2022	7/21/2023
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	1/19/2022	7/21/2023
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/5/2008
Active	Trustgard Insurance Company	300104	Agent - Property	12/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/15/2017	9/26/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/20/1974	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/15/2017	9/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004
Denied	Williamsburg Insurance Agency Inc.	400065	Agent - Life
Denied	Williamsburg Insurance Agency Inc.	400065	Agent - Health
Active	Williamsburg Insurance Agency Inc.	400065	Agent - Property	12/9/2008
Active	Williamsburg Insurance Agency Inc.	400065	Agent - Casualty	12/9/2008