DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
Active	Non Resident	Agent	Casualty	4/18/2008		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/6/2008		3/31/2027
* 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	01/15/2025	03/31/2025	02/12/2025	02/12/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	02/12/2025	02/12/2025	Yes

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