DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sucoloski, Mark Michael	DOIID	697955	NAIC NPN	2020559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/26/2009		12/31/2024
Active	Non Resident	Agent	Health	1/26/2009		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/12/2009	3/6/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/12/2009	3/6/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/12/2009	3/6/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Riggs Counselman Michaels & Downes Inc	643195	Agent - Health
Denied	Riggs Counselman Michaels & Downes Inc	643195	Agent - Life