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	Life	4/27/2021	1/31/2027
Active	Non Resident	Agent	Health	4/27/2021	1/31/2027
* 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	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
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/16/2025
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
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2025
Active	Humana Insurance Company	301104	Agent - Health	3/20/2025
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