DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holibaugh, Mark Edgar	DOIID	567658	NAIC NPN	6756557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/9/2003	2/28/2015
Inactive	Non Resident	Agent	Life	4/9/2003	2/28/2015
* 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	Aetna Health Inc.	300694	Agent - Health	6/24/2004	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	8/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/24/2004	8/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/24/2004	8/18/2012
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	7/21/2005	2/28/2015
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	7/21/2005	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	7/21/2005	6/11/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/26/2014	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2014	5/1/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/20/2005	2/28/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/20/2005	2/28/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/20/2005	2/28/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/20/2005	2/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/25/2005	2/29/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/25/2005	2/29/2012