DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rasmussen, Mark	DOIID	717669	NAIC NPN	12406854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/9/2009	7/31/2012
Inactive	Non Resident	Agent	Casualty	11/9/2009	7/31/2012
* 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	AmTrust Insurance Company	300179	Agent - Casualty	1/25/2011	7/31/2012
Inactive	AmTrust Insurance Company	300179	Agent - Property	1/25/2011	7/31/2012
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	1/25/2011	7/31/2012
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	1/25/2011	7/31/2012
Inactive	Security National Insurance Company	301151	Agent - Casualty	1/25/2011	7/31/2012
Inactive	Security National Insurance Company	301151	Agent - Property	1/25/2011	7/31/2012
Inactive	Technology Insurance Company	613278	Agent - Casualty	1/25/2011	7/31/2012
Inactive	Technology Insurance Company	613278	Agent - Property	1/25/2011	7/31/2012
Inactive	Wesco Insurance Company	300534	Agent - Casualty	1/25/2011	7/31/2012
Inactive	Wesco Insurance Company	300534	Agent - Property	1/25/2011	7/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	7/21/2011	7/31/2012
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	7/21/2011	7/31/2012