DEPARTMENT OF INSURANCE

Affiliations

Name	Kozin, Mark Alan	DOIID	723504	NAIC NPN	1002125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/11/2021	4/30/2027
Active	Non Resident	Agent	Health	10/11/2021	4/30/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	5/18/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/9/2010	4/30/2011
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/18/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/9/2010	4/30/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/9/2010	4/30/2011
Active	American General Life Insurance Company	301585	Agent - Health	3/23/2022
Active	American General Life Insurance Company	301585	Agent - Life	3/23/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/2/2010	4/30/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/2/2010	4/30/2011
Active	CICA Life Insurance Company of America	600487	Agent - Life	9/25/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/18/2022
Inactive	GCU	962873	Agent - Life	10/28/2021	12/20/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/9/2010	4/30/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/9/2010	4/30/2011
Inactive	Great Western Insurance Company	501693	Agent - Life	1/17/2023	9/18/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/18/2022
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/18/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/11/2011	4/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/11/2011	4/30/2011
Active	Liberty Bankers Life Insurance Company	542461	Agent - Life	10/21/2021
Active	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	1/20/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	2/24/2023	2/21/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/19/2010	4/30/2011
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/19/2023	6/28/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/27/2022	4/24/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/27/2022	4/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/2/2010	4/30/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/2/2010	4/30/2011