DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bukowski, Mark Stephen	DOIID	692923	NAIC NPN	11295983

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/5/2008		9/30/2024
Active	Non Resident	Agent	Health	11/5/2008		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2012
Active	Aetna Life Insurance Company	301140	Agent - Health	4/26/2012
Active	Aetna Life Insurance Company	301140	Agent - Life	4/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Health	2/5/2013	1/22/2015
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Life	2/5/2013	1/22/2015
Active	Willis Towers Watson US LLC	705053	Agent - Health	6/21/2016
Active	Willis Towers Watson US LLC	705053	Agent - Life	6/21/2016