DEPARTMENT OF INSURANCE

Affiliations

Name	Ilgenfritz, Mark Monteith	DOIID	383129	NAIC NPN	645601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/13/1999	8/31/2020
Inactive	Non Resident	Agent	Health Maintenance Organization	10/13/1999	3/1/2001
Inactive	Non Resident	Agent	Life	10/13/1999	8/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/16/2010	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/16/2010	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/16/2010	8/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/9/2008	7/15/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/9/2008	7/15/2009
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/28/2017	8/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/6/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/11/2009	1/5/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/11/2009	1/5/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/7/2013	9/30/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/7/2013	9/30/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/6/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/13/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/1999	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/1999	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	7/6/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/28/2009	9/27/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/23/2009	8/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/23/2009	8/31/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/23/2009	8/31/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/23/2009	8/31/2020
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	7/8/2009	1/4/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/28/2009	9/27/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/28/2009	9/27/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	9/2/2009	8/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	8/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	8/31/2020
Inactive	Managed Healthcare Solutions	705747	Agent - Life	6/1/2009	3/31/2017
Inactive	Managed Healthcare Solutions	705747	Agent - Health	6/1/2009	3/31/2017
Inactive	Medlink Inc	400721	Agent - Life	9/24/2008	8/31/2020
Inactive	Medlink Inc	400721	Agent - Health	9/24/2008	8/31/2020