DEPARTMENT OF INSURANCE

Affiliations

Name	Gall, Mark E	DOIID	384022	NAIC NPN	967153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/14/1996	9/30/2025
Active	Non Resident	Agent	Life	11/14/1996	9/30/2025
* 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	ACE American Insurance Company	300625	Agent - Health	2/16/2016	1/12/2022
Inactive	Aetna Health Inc.	300694	Agent - Health	5/11/2001	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007
Active	Aetna Life Insurance Company	301140	Agent - Health	4/30/1997
Active	Aetna Life Insurance Company	301140	Agent - Life	4/30/1997
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/17/2005	9/1/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	9/1/2011
Inactive	American United Life Insurance Company	300498	Agent - Health	11/7/2011	6/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	11/7/2011	6/29/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/14/2004	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/14/2004	10/23/2006
Active	Anthem Life Insurance Company	301209	Agent - Health	11/14/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	11/14/1996
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/9/2012	12/5/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/10/2012
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/10/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/11/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	4/3/2020
Active	Companion Life Insurance Company	300191	Agent - Life	4/3/2020
Active	Dental Care Plus Inc.	301495	Agent - Health	10/28/2011
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2020
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	4/11/2023
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	4/11/2023
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/6/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/6/2008	12/7/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/1/2001	12/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/1/2001	12/8/2009
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/12/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/13/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	8/17/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	8/28/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/13/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/28/2019	12/19/2019
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/12/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/12/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/22/2002	12/19/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/16/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/16/2004	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/6/2004	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/6/2004	1/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	4/25/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	4/25/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/25/2013	6/16/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/25/2013	6/16/2017
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	7/3/2000	2/27/2013
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	7/3/2000	10/29/2014
Active	Principal Life Insurance Company	300129	Agent - Health	1/10/2008
Active	Principal Life Insurance Company	300129	Agent - Life	1/10/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/19/2008	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/19/2008	9/9/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/13/2008	10/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/13/2008	10/6/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	12/1/2009
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	12/1/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	11/3/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	11/3/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	11/14/2008	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	11/14/2008	8/22/2011
Inactive	Time Insurance Company	300683	Agent - Health	12/13/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	12/13/2013	12/20/2014
Active	Trustmark Life Insurance Company	301286	Agent - Health	11/1/2013
Active	Trustmark Life Insurance Company	301286	Agent - Life	11/1/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/19/2008	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/19/2008	9/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	6/30/2008	12/10/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	6/30/2008	12/10/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/10/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/10/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/2/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/2/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/2/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	11/2/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/2/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	11/2/2020
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	5/15/2000	12/31/2002
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	5/15/2000	12/31/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/25/1997	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/25/1997	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008
Active	HLU Consultants, Inc.	906237	Agent - Life	8/8/2018
Active	HLU Consultants, Inc.	906237	Agent - Health	8/8/2018