DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Reilly, Mark T	DOIID	769362	NAIC NPN	967493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/21/2011	10/31/2020
Inactive	Non Resident	Agent	Life	4/8/2014	10/31/2020
Inactive	Non Resident	Agent	Casualty	11/21/2011	10/31/2020
* 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	Augustar Life Assurance Corporation	301113	Agent - Life	7/17/2014	3/9/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/3/2013	10/31/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/3/2013	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blair Assoc Ins Agcy Inc	812570	Agent - Property	6/17/2013	2/19/2018
Inactive	Blair Assoc Ins Agcy Inc	812570	Agent - Casualty	6/17/2013	2/19/2018
Inactive	Blair Assoc Ins Agcy Inc	812570	Agent - Life	4/8/2014	2/19/2018
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/17/2017	2/7/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/17/2017	2/7/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/17/2017	3/9/2018