DEPARTMENT OF INSURANCE
Affiliations
NameMarks, Eric ShaunDOIID782745NAIC NPN15942023
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/25/20126/13/2014 
InactiveNon ResidentAgentLife5/25/20126/13/2014 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health6/18/20126/13/2014
InactiveAetna Life Insurance Company301140Agent - Health6/18/20126/13/2014
InactiveAetna Life Insurance Company301140Agent - Life6/18/20126/13/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health7/18/20126/13/2014
InactiveDesignated Agent Company Inc.681257Agent - Life12/2/20136/13/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/2/20136/13/2014
InactivePaychex Insurance Agency Inc509469Agent - Life6/21/20126/13/2014
InactivePaychex Insurance Agency Inc509469Agent - Health6/21/20126/13/2014

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