DEPARTMENT OF INSURANCE

Affiliations

Name	Farnsworth, Mark J	DOIID	781671	NAIC NPN	8695159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/12/2016	1/31/2027
Active	Non Resident	Agent	Health	1/12/2016	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	4/13/2016
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/10/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/13/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	4/13/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/27/2012	11/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/27/2012	11/1/2013
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/31/2018	12/10/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/31/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/3/2013	12/3/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	10/29/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/3/2013	12/3/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/3/2013	12/3/2013
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	10/29/2013
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/31/2018	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	10/29/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/17/2017	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	10/29/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2012	10/29/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/31/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/31/2018	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/9/2013	10/29/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/9/2013	10/29/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/11/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	6/11/2012	6/24/2013
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/11/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/11/2012	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/25/2018	6/6/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	4/25/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/6/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/4/2013	11/4/2013
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/25/2018	6/6/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/19/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/19/2019	4/8/2021

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	6/27/2012	11/14/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2012	11/14/2013