DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brackett, Mark	DOIID	743933	NAIC NPN	16100750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	12/9/2010		2/28/2026
Inactive	Resident	Agent	Life	3/3/2011	3/1/2022
Inactive	Resident	Agent	Health	3/3/2011	3/1/2022
* 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	American Health and Life Insurance Company	300844	Agent - Health	2/21/2017	3/16/2020
Inactive	American Health and Life Insurance Company	300844	Agent - Life	2/21/2017	3/16/2020
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	2/21/2017	3/16/2020
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	2/16/2022
Inactive	Merit Life Insurance Co.	300150	Agent - Health	3/3/2011	12/12/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Life	3/3/2011	12/12/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	12/9/2010	12/12/2018
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	2/16/2022	3/1/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/16/2022	3/1/2022
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	2/16/2022
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	2/21/2017	3/16/2020
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	12/9/2010	1/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/10/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Life	8/10/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Health	8/10/2018	2/21/2019
Inactive	OneMain Financial Of America, Inc	821439	Agent - Limited Line Credit	3/17/2016	3/2/2018
Inactive	OneMain Financial Of America, Inc	821439	Agent - Life	2/22/2016	3/2/2018
Inactive	OneMain Financial Of America, Inc	821439	Agent - Health	2/22/2016	3/2/2018
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/22/2018	3/16/2020
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	6/19/2018	3/16/2020
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	6/19/2018	3/16/2020