DEPARTMENT OF INSURANCE
Affiliations
NameFortier, Mark DOIID680287NAIC NPN10735108
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities7/19/20115/31/2014 
InactiveNon ResidentAgentHealth7/19/20115/31/2014 
InactiveNon ResidentAgentLife5/12/20085/31/2014 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmpower Annuity Insurance Company300168Agent - Life4/10/20127/3/2014
InactiveEquitable Financial Life Insurance Company300808Agent - Life12/22/201012/23/2011
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/29/20084/2/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health8/30/20116/16/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/30/20116/16/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/30/20116/16/2014
InactiveNationwide Life Insurance Company300495Agent - Health11/15/20111/27/2014
InactiveNationwide Life Insurance Company300495Agent - Life11/15/20111/27/2014
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/15/20111/27/2014
InactivePrudential Insurance Company of America300784Agent - Health4/10/20127/3/2014
InactivePrudential Insurance Company of America300784Agent - Life4/10/20127/3/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlliancebernstein Investments Inc554422Agent - Life3/1/20111/14/2014
InactiveAlliancebernstein Investments Inc554422Agent - Health8/30/20111/14/2014
InactiveAlliancebernstein Investments Inc554422Agent - Variable Life and Variable Annuities8/30/20111/14/2014

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