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DEPARTMENT OF INSURANCE
Affiliations
Name
Petty, Mark D
DOIID
688766
NAIC NPN
2222208
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
9/10/2008
9/30/2014
Inactive
Non Resident
Agent
Life
9/10/2008
9/30/2014
Inactive
Non Resident
Agent
Property
9/10/2008
9/30/2014
Inactive
Non Resident
Agent
Health
9/10/2008
9/30/2014
* 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
12/2/2009
4/23/2013
Inactive
ACE American Insurance Company
300625
Agent - Property
12/2/2009
4/23/2013
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
10/10/2008
8/24/2011
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Health
11/5/2010
9/30/2014
Inactive
Revol One Insurance Company
300681
Agent - Life
8/28/2009
10/15/2009
Inactive
Time Insurance Company
300683
Agent - Health
10/9/2008
10/28/2009
Inactive
Time Insurance Company
300683
Agent - Life
10/9/2008
10/28/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Global Contact Services
546831
Agent - Life
10/10/2008
8/24/2011
Denied
Global Contact Services
546831
Agent - Health
Inactive
Global Contact Services
546831
Agent - Property
2/26/2010
4/23/2013
Inactive
Global Contact Services
546831
Agent - Casualty
2/26/2010
4/23/2013
Inactive
Homefront Insurance Group, Inc.
672251
Agent - Life
10/10/2008
3/31/2012
Inactive
Homefront Insurance Group, Inc.
672251
Agent - Health
10/9/2008
10/28/2009
Inactive
Hyperlink Ins Solutions Llc
685815
Agent - Life
10/10/2008
8/24/2011
Inactive
Hyperlink Ins Solutions Llc
685815
Agent - Health
10/9/2008
10/28/2009
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