DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Buczko, Mark John	DOIID	596009	NAIC NPN	2119819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/25/2004	9/30/2018
Inactive	Non Resident	Agent	Property	10/25/2004	9/30/2018
Inactive	Non Resident	Agent	Life	10/25/2004	9/30/2018
Inactive	Non Resident	Agent	Health	10/25/2004	9/30/2018
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/23/2008	9/30/2018
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/23/2008	9/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	AIS Insurance Agency, Inc.	518334	Agent - Casualty
Denied	AIS Insurance Agency, Inc.	518334	Agent - Property
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	10/21/2016	6/14/2017
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	10/21/2016	6/14/2017