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	Casualty	2/21/2014	9/30/2025
Active	Non Resident	Agent	Property	2/21/2014	9/30/2025
Active	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

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