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DEPARTMENT OF INSURANCE
Affiliations
Name
Marks, Eric Shaun
DOIID
782745
NAIC NPN
15942023
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
5/25/2012
6/13/2014
Inactive
Non Resident
Agent
Life
5/25/2012
6/13/2014
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
6/18/2012
6/13/2014
Inactive
Aetna Life Insurance Company
301140
Agent - Health
6/18/2012
6/13/2014
Inactive
Aetna Life Insurance Company
301140
Agent - Life
6/18/2012
6/13/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
7/18/2012
6/13/2014
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/2/2013
6/13/2014
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/2/2013
6/13/2014
Inactive
Paychex Insurance Agency Inc
509469
Agent - Life
6/21/2012
6/13/2014
Inactive
Paychex Insurance Agency Inc
509469
Agent - Health
6/21/2012
6/13/2014
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