DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Mark Timothy	DOIID	684869	NAIC NPN	1003296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/24/2014	9/30/2018
Inactive	Non Resident	Agent	Property	3/24/2014	9/30/2018
Inactive	Non Resident	Agent	Health	1/13/2009	4/11/2012
Inactive	Non Resident	Agent	Life	1/13/2009	4/11/2012
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/24/2008	4/11/2012
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/29/2011	4/11/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	4/29/2011	4/11/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	4/29/2011	4/11/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	4/29/2011	4/11/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/29/2011	4/11/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/29/2011	4/11/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/3/2011	4/11/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/3/2011	4/11/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/24/2015	10/24/2018
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/24/2015	10/24/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	2/24/2015	10/24/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	2/24/2015	10/24/2018
Inactive	Essentia Insurance Company	300342	Agent - Casualty	9/8/2015	2/26/2018
Inactive	Essentia Insurance Company	300342	Agent - Property	9/8/2015	2/26/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	7/24/2008	4/11/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	7/24/2008	4/11/2012
Inactive	Farmers New World Life Insurance Company	300536	Agent - Health	6/3/2011	4/11/2012
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	6/3/2011	4/11/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/22/2015	9/30/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/22/2015	9/30/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/21/2008	4/11/2012
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/21/2008	4/11/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/21/2008	4/11/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/21/2008	4/11/2012
Inactive	Markel American Insurance Company	300377	Agent - Casualty	4/23/2014	9/8/2015
Inactive	Markel American Insurance Company	300377	Agent - Property	4/23/2014	9/8/2015
Inactive	Markel Insurance Company	301475	Agent - Casualty	4/23/2014	2/28/2018
Inactive	Markel Insurance Company	301475	Agent - Property	4/23/2014	2/28/2018
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/6/2009	4/11/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/6/2009	4/11/2012
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	7/24/2008	4/11/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	7/24/2008	4/11/2012
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	4/29/2011	4/11/2012
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	4/29/2011	4/11/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	4/23/2014	2/18/2018
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	4/23/2014	2/18/2018
Inactive	Western Star Insurance Services Inc.	757319	Agent - Casualty	6/29/2011	8/12/2011
Inactive	Western Star Insurance Services Inc.	757319	Agent - Property	6/29/2011	8/12/2011