DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russ, Mark A	DOIID	696936	NAIC NPN	1627253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/28/2009		8/31/2026
Active	Non Resident	Agent	Casualty	1/28/2009		8/31/2026
Inactive	Non Resident	Agent	Life	1/28/2009	6/21/2018
Inactive	Non Resident	Agent	Health	1/28/2009	6/21/2018
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	7/8/2016	11/12/2020
Inactive	Church Mutual Insurance Company, S.I.	301554	Agent - Property	7/8/2016	11/12/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2013	12/5/2014
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	7/13/2016	10/31/2022
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	7/13/2016	10/31/2022
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	7/13/2016	10/31/2022
Inactive	GuideOne Insurance Company	301794	Agent - Property	7/13/2016	10/31/2022
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	7/13/2016	10/31/2022
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	7/13/2016	10/31/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance Agency LTD	552246	Agent - Life
Denied	Assurance Agency LTD	552246	Agent - Health
Inactive	Assurance Agency LTD	552246	Agent - Casualty	7/15/2016	3/31/2022
Inactive	Assurance Agency LTD	552246	Agent - Property	7/15/2016	3/31/2022
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Life	5/24/2012	7/22/2015
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Health	5/24/2012	7/22/2015
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Casualty	5/24/2012	7/22/2015
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Property	5/24/2012	7/22/2015
Pending	Marsh & Mclennan Agency LLC	716460	Agent - Casualty
Pending	Marsh & Mclennan Agency LLC	716460	Agent - Property
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	6/27/2019	10/31/2022
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	6/27/2019	10/31/2022