DEPARTMENT OF INSURANCE

Affiliations

Name	Staffen, Mark Andrew	DOIID	744510	NAIC NPN	1492074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/27/2021	1/31/2025
Active	Non Resident	Agent	Life	4/27/2021	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/2/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/22/2021	12/20/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/2/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/28/2011	1/31/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/2/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2011	1/31/2015
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/19/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	1/31/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	1/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/14/2011	1/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	1/14/2011	1/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/14/2011	1/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2011	1/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2011	1/31/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	1/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	1/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/28/2011	1/31/2015
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/30/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/30/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/30/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Core Insurance Advisors Inc.	1317502	Agent - Life	1/4/2024
Active	Core Insurance Advisors Inc.	1317502	Agent - Health	1/4/2024
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/14/2011	1/31/2015
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/14/2011	1/31/2015