DEPARTMENT OF INSURANCE

Affiliations

Name	Avery, Mark Joseph	DOIID	696875	NAIC NPN	4891818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/9/2011	11/30/2024
Active	Non Resident	Agent	Health	1/8/2009	11/30/2024
Active	Non Resident	Agent	Casualty	12/9/2011	11/30/2024
Active	Non Resident	Agent	Life	1/8/2009	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/30/2015
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/30/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/17/2014	3/14/2019
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/24/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/24/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2014	12/19/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	4/3/2012	4/19/2019
Inactive	Great American Insurance Company	301586	Agent - Property	4/3/2012	4/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/17/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/12/2014	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/2014	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2014	12/19/2019
Active	Independence American Insurance Company	524747	Agent - Casualty	12/27/2022
Active	Independence American Insurance Company	524747	Agent - Property	12/27/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/17/2014	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/17/2014	8/9/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/31/2023	4/28/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/3/2023
Active	Nationwide Life Insurance Company	300495	Agent - Life	4/3/2023
Inactive	Union Security Insurance Company	301844	Agent - Health	2/11/2009	10/13/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	2/11/2009	10/13/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Power Group Co LLC	698137	Agent - Health	2/11/2009	3/31/2017
Inactive	Power Group Co LLC	698137	Agent - Life	2/11/2009	3/31/2017
Inactive	Truss, LLC	549395	Agent - Health	8/22/2014	3/31/2022
Inactive	Truss, LLC	549395	Agent - Life	8/22/2014	3/31/2022
Inactive	Truss, LLC	549395	Agent - Casualty	8/22/2014	4/19/2019
Inactive	Truss, LLC	549395	Agent - Property	8/22/2014	4/19/2019