DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conrad, Mark P	DOIID	659886	NAIC NPN	9459203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/18/2007	3/31/2009
Inactive	Non Resident	Agent	Health	7/18/2007	3/31/2009
* 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	Aetna Health Inc.	300694	Agent - Health	8/15/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/15/2007	3/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/15/2007	3/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	8/15/2007	8/4/2008
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	8/15/2007	8/4/2008