DEPARTMENT OF INSURANCE

Affiliations

Name	Inmon, Mark D	DOIID	384997	NAIC NPN	1890062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	12/11/1998	2/28/2009
Inactive	Resident	Agent	Casualty	8/15/2000	3/1/2009
Inactive	Resident	Agent	Life	6/14/2011	3/1/2013
Inactive	Resident	Agent	Health	11/2/1987	3/1/2009
Inactive	Resident	Agent	Health Maintenance Organization	2/25/1991	7/14/1997
Inactive	Resident	Agent	Property	8/15/2000	3/1/2009
Inactive	Resident	Agent	General Lines	3/12/1986	8/15/2000
Inactive	Resident	Surplus Lines Broker	Not Applicable	1/13/2004	2/28/2009
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/20/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/20/2003	3/1/2009
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	10/7/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	10/5/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	10/7/2002
Inactive	American Continental Insurance Company	300838	Agent - General Lines	7/25/1995	3/30/1998
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	9/13/2007
Inactive	American Economy Insurance Company	300315	Agent - General Lines	7/21/1997	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	9/13/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	3/16/1999	4/11/2000
Inactive	American Fidelity Assurance Company	301004	Agent - Life	3/16/1999	4/11/2000
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	11/13/2001	3/1/2009
Inactive	American Select Insurance Company	301229	Agent - Casualty	8/15/2000	3/20/2006
Inactive	American Select Insurance Company	301229	Agent - General Lines	10/6/1999	8/15/2000
Inactive	American Select Insurance Company	301229	Agent - Property	8/15/2000	3/20/2006
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	11/9/2007
Inactive	American States Insurance Company	301230	Agent - General Lines	7/21/1997	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	3/1/2009
Inactive	American States Life Insurance Company	301884	Agent - Life	7/21/1997	12/4/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/12/2000	10/14/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	4/21/2004
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/21/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	4/21/2004
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/7/2002
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/5/1994	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/7/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Life	4/27/2004	12/13/2006
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/19/2006	9/17/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	8/19/1991	3/31/1996
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/19/2006	9/17/2007
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	10/16/1997	1/27/2007
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	10/16/1997	1/26/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/27/2000	7/14/2004
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	9/13/2007
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	9/13/2007
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/22/2011	3/1/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	9/13/2007
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	9/13/2007
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	11/2/1987	3/31/1997
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	11/2/1987	3/31/1997
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/12/1986	6/29/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/12/1986	6/29/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/20/1986	6/29/2000
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	7/25/1995	3/31/2001
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/12/1986	6/29/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/6/2001	3/1/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/25/1991	7/14/1997
Inactive	Humana Insurance Company	301104	Agent - Health	4/6/2001	3/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/6/2001	3/1/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	4/21/2004
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/21/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	4/21/2004
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	3/1/2009
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	3/1/2009
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	1/7/2008	3/17/2008
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	1/7/2008	3/17/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	5/3/2007	3/17/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	5/3/2007	3/17/2008
Inactive	MIIX Insurance Company	301965	Agent - Casualty	9/19/2000	12/2/2002
Inactive	MIIX Insurance Company	301965	Agent - Property	9/19/2000	12/2/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	10/11/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	10/5/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	10/11/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	4/21/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/21/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/21/2004
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/22/1996	3/31/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/22/1996	3/31/1997
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	3/20/2006
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	3/20/2006
Inactive	Old American Insurance Company	300762	Agent - Health	8/29/2008	3/1/2009
Inactive	Old American Insurance Company	300762	Agent - Life	6/4/2008	8/28/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/14/2007	3/1/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/14/2007	3/1/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	4/21/2004
Inactive	Peerless Insurance Company	301910	Agent - General Lines	2/21/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	4/21/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/16/2001	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/16/2001	11/30/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/5/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/10/1997	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/10/1997	11/10/2004
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	8/27/1992	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	9/13/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	9/13/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	9/13/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	9/13/2007
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	10/17/2001	3/1/2009
Inactive	Safety National Casualty Corporation	300390	Agent - Property	10/17/2001	3/1/2009
Inactive	Service American Indemnity Company	301191	Agent - Casualty	3/8/2002	1/30/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	6/3/1986	3/31/1996
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/4/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/4/2001
Inactive	Texas Life Insurance Company	300345	Agent - Life	12/5/2011	12/17/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/12/2008	7/10/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/12/2008	7/10/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/23/2011	2/1/2013
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	10/5/1994	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	10/11/2001
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	10/7/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	10/5/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	10/7/2002
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Commercial Casualty Company	301695	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/12/1986	6/29/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	5/26/1999	4/15/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/26/1999	11/7/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	3/17/1999	3/1/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	3/17/1999	3/1/2009
Inactive	United Home Life Insurance Company	300421	Agent - Life	12/30/2011	3/1/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2001	10/23/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/16/2001	10/23/2006
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	10/5/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	10/11/2001
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	4/28/2009
Inactive	Western Surety Company	300283	Agent - General Lines	8/11/1998	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	3/20/2006
Inactive	Westfield Insurance Company	301950	Agent - General Lines	10/6/1999	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	3/20/2006
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	3/20/2006
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	10/6/1999	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	3/20/2006
Inactive		300277	Agent - Life	1/11/1996	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Taylor TPA, LLC	401233	Agent - Life	5/24/1993	9/11/2001
Inactive	Charles Taylor TPA, LLC	401233	Agent - General Lines	5/24/1993	8/15/2000
Inactive	Charles Taylor TPA, LLC	401233	Agent - Property	8/15/2000	9/11/2001
Inactive	Charles Taylor TPA, LLC	401233	Agent - Casualty	8/15/2000	9/11/2001
Inactive	Gintri Risk Management Corporation	526975	Administrator - Not Applicable	9/5/2001	2/28/2009
Inactive	Gintri Risk Management Corporation	526975	Agent - Property	3/7/2002	3/1/2009
Inactive	Gintri Risk Management Corporation	526975	Agent - Casualty	3/7/2002	3/1/2009
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Life	3/13/1997	3/1/2009
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Health	3/13/1997	3/1/2009
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Property	8/15/2000	3/1/2009
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Casualty	8/15/2000	3/1/2009
Inactive	Inmon Insurance Corporation	524113	Agent - Health	5/16/2001	3/1/2009
Inactive	Inmon Insurance Corporation	524113	Administrator - Not Applicable	9/5/2001	2/28/2009
Inactive	Inmon Insurance Corporation	524113	Agent - Property	2/12/2002	3/1/2009
Inactive	Inmon Insurance Corporation	524113	Agent - Casualty	2/12/2002	3/1/2009
Inactive	Self Funding & Risk Management Solutions LLC	395832	Administrator - Not Applicable	12/11/1998	3/31/2001