DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Mark John	DOIID	595408	NAIC NPN	7990786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/30/2009		1/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	9/14/2004		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	11/15/2024	01/31/2025
Independent Adjuster	11/15/2024	01/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Specialty Ins Services Inc	396095	Independent Adjuster - Property & Casualty	9/14/2004	3/31/2007
Active	American Specialty Insurance & Risk Services, Inc.	601367	Independent Adjuster - Property & Casualty	9/11/2006
Active	American Specialty Insurance & Risk Services, Inc.	601367	Administrator - Not Applicable	11/30/2009