DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conner, Mark Russell	DOIID	567655	NAIC NPN	558842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2010		7/31/2025
Active	Non Resident	Agent	Life	10/6/2010		7/31/2025
* 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
Active	Banner Life Insurance Company	301696	Agent - Life	11/18/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/17/2012	3/14/2019
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/17/2012	12/19/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	6/22/2011
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	6/22/2011
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/24/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2014	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/24/2014	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/17/2012	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/17/2012	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/17/2012	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/17/2012	8/9/2018
Inactive	Union Security Insurance Company	301844	Agent - Health	11/9/2010	1/8/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	11/9/2010	1/8/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ironwood Insurance Services LLC	673920	Agent - Health	3/26/2019	3/22/2022
Inactive	Ironwood Insurance Services LLC	673920	Agent - Life	3/26/2019	3/22/2022
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	5/1/2020
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	5/1/2020