DEPARTMENT OF INSURANCE

Affiliations

Name	Thayer, Mark D	DOIID	607322	NAIC NPN	8417051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/21/2014	9/30/2025
Active	Non Resident	Agent	Health	2/21/2014	9/30/2025
Active	Non Resident	Agent	Property	2/21/2014	9/30/2025
Active	Non Resident	Agent	Casualty	2/21/2014	9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/21/2014	9/30/2025
* 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
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/21/2016	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/21/2016	12/20/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/19/2012	10/24/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/19/2012	10/24/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/4/2016	12/16/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/4/2016	12/16/2019
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	10/4/2016	12/22/2016
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/4/2016	12/22/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016
Active	Grange Insurance Company	300234	Agent - Casualty	12/22/2016
Active	Grange Insurance Company	300234	Agent - Property	12/22/2016
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/22/2016
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/22/2016
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	7/23/2015	7/18/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	7/23/2015	7/18/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	7/23/2015	7/18/2019
Inactive	Great American Assurance Company	300327	Agent - Property	7/23/2015	7/18/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	7/23/2015	7/18/2019
Inactive	Great American Insurance Company	301586	Agent - Property	7/23/2015	7/18/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	7/23/2015	7/18/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	7/23/2015	7/18/2019
Active	Great West Casualty Company	301015	Agent - Casualty	8/23/2023
Active	Great West Casualty Company	301015	Agent - Property	8/23/2023
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	9/18/2017
Active	GuideOne Elite Insurance Company	300490	Agent - Property	9/18/2017
Active	GuideOne Insurance Company	301794	Agent - Casualty	9/18/2017
Active	GuideOne Insurance Company	301794	Agent - Property	9/18/2017
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	9/18/2017
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	9/18/2017
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/8/2011	10/24/2012
Active	Old Republic Life Insurance Company	301214	Agent - Health	2/26/2014
Active	Old Republic Life Insurance Company	301214	Agent - Life	2/26/2014
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/4/2016	12/16/2019
Inactive	Owners Insurance Company	300796	Agent - Property	10/4/2016	12/16/2019
Inactive	Protective Insurance Company	301117	Agent - Casualty	10/23/2023	3/31/2024
Inactive	Protective Insurance Company	301117	Agent - Property	10/23/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/23/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Property	10/23/2023	3/31/2024
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2016
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2016
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	4/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/19/2012	10/24/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/19/2012	10/24/2012
Inactive	Johnson-Witkemper Inc	669592	Agent - Life	7/27/2012	10/24/2012
Inactive	Johnson-Witkemper Inc	669592	Agent - Health	7/27/2012	10/24/2012
Inactive	Johnson-Witkemper Inc	669592	Agent - Casualty	7/27/2012	10/24/2012
Inactive	Johnson-Witkemper Inc	669592	Agent - Property	7/27/2012	10/24/2012
Active	Marvin Johnson & Assoc Inc	553279	Surplus Lines Broker - Not Applicable	3/4/2014