DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Mark William	DOIID	678799	NAIC NPN	7503766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/18/2008		3/31/2025
Active	Non Resident	Agent	Casualty	4/18/2008		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/6/2008		3/31/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	9/24/2013
Active	ACE American Insurance Company	300625	Agent - Property	9/24/2013
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	6/9/2008
Inactive	FCCI Insurance Company	557454	Agent - Casualty	6/11/2008	12/28/2011
Inactive	FCCI Insurance Company	557454	Agent - Property	6/11/2008	12/28/2011
Inactive	FFVA Mutual Insurance Company	552456	Agent - Casualty	5/17/2010	11/4/2010
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	6/11/2008	12/28/2011
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	6/11/2008	12/28/2011
Inactive	National Trust Insurance Company	300367	Agent - Casualty	6/11/2008	12/28/2011
Inactive	National Trust Insurance Company	300367	Agent - Property	6/11/2008	12/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	12/28/2020	8/17/2023
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	12/28/2020	8/17/2023
Active	Mcgriff Insurance Services, LLC	400877	Surplus Lines Broker - Not Applicable	12/28/2020
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Property	10/28/2016	3/31/2022
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Casualty	10/28/2016	3/31/2022
Inactive	Mcgriff Seibels & Williams Inc	593804	Surplus Lines Broker - Not Applicable	1/8/2018	3/31/2022
Active	Stephens Ins LLC	638272	Agent - Property	8/16/2023
Active	Stephens Ins LLC	638272	Agent - Casualty	8/16/2023
Active	Stephens Ins LLC	638272	Surplus Lines Broker - Not Applicable	8/16/2023
Inactive	Willis Of Alabama Inc	513714	Agent - Property	5/4/2011	12/28/2011
Inactive	Willis Of Alabama Inc	513714	Agent - Casualty	5/4/2011	6/26/2013