DEPARTMENT OF INSURANCE

Affiliations

Name	Hagedorn, Mark	DOIID	524304	NAIC NPN	3322201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/25/2006	11/30/2015
Inactive	Non Resident	Agent	Life	4/25/2006	11/30/2015
* 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	AAA Life Insurance Company	300287	Agent - Health	5/11/2010	11/30/2015
Inactive	AAA Life Insurance Company	300287	Agent - Life	5/11/2010	11/30/2015
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	9/3/2014	4/21/2015
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	9/3/2014	4/21/2015
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	9/9/2002	6/13/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	9/9/2002	6/13/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/4/2007	12/13/2007
Inactive	Humana Insurance Company	301104	Agent - Health	12/4/2007	12/13/2007
Inactive	Humana Insurance Company	301104	Agent - Life	12/4/2007	12/13/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/4/2007	12/13/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/4/2007	12/13/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/3/2014	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/3/2014	11/14/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/4/2001	5/12/2003
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/4/2001	5/12/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/13/2008	11/30/2015
Inactive	Physicians Life Insurance Company	300924	Agent - Health	11/26/2007	11/8/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/26/2007	4/25/2014
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	11/26/2007	4/25/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	6/23/2014	7/23/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	6/23/2014	7/23/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/23/2014	7/23/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/23/2014	7/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	4/4/2001	5/12/2003
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	4/4/2001	5/12/2003