DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Mark J	DOIID	609558	NAIC NPN	6935932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/1/2005	8/31/2006
Inactive	Non Resident	Agent	Life	6/1/2005	8/31/2006
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	11/23/2005	8/31/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/23/2005	8/31/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/23/2005	8/31/2006
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/23/2005	8/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Waterpoint Benefits Advisers LLC	616235	Agent - Life
Denied	Waterpoint Benefits Advisers LLC	616235	Agent - Health