DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Balcos, Mark S	DOIID	386060	NAIC NPN	664289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/11/1999	3/13/2002
Inactive	Non Resident	Agent	Property	7/15/2011	7/31/2013
Inactive	Non Resident	Agent	Casualty	7/15/2011	7/31/2013
Inactive	Non Resident	Agent	Life	3/11/1999	3/13/2002
* 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	General Life Insurance Company	300652	Agent - Life	2/23/2000	1/11/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/6/1999	3/13/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/6/1999	3/13/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/11/1999	3/13/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/11/1999	3/13/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/5/2001	3/13/2002
Inactive	West Coast Life Insurance Company	301607	Agent - Health	1/24/2001	3/13/2002
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/24/2001	3/13/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Of Washington Inc	623882	Agent - Casualty	6/15/2012	1/23/2013
Inactive	Brown & Brown Of Washington Inc	623882	Agent - Property	6/15/2012	1/23/2013