DEPARTMENT OF INSURANCE

Affiliations

Name	Leopold, Mark Gerard	DOIID	809279	NAIC NPN	16638193

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/2/2017	7/31/2019
Inactive	Non Resident	Agent	Life	11/2/2017	7/31/2019
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/26/2018	1/17/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/26/2018	1/17/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	2/6/2018	7/31/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	2/6/2018	7/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/18/2014	7/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/18/2014	7/31/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/8/2013	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/8/2013	12/8/2014
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/30/2013	3/28/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/30/2013	3/28/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/13/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/13/2018	7/18/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/3/2013	5/28/2015
Inactive	Companion Life Insurance Company	300191	Agent - Health	12/28/2018	7/31/2019
Inactive	Companion Life Insurance Company	300191	Agent - Life	12/28/2018	7/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/3/2013	3/23/2016
Inactive	Federal Insurance Company	301144	Agent - Health	5/17/2017	7/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/9/2017	8/1/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/9/2017	8/1/2019
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/17/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/28/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/16/2013	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/16/2013	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/16/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/16/2013	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/16/2013	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/16/2013	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/3/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/3/2014	5/28/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/31/2019	7/31/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/7/2016	7/31/2017
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/16/2018	7/31/2019
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	9/23/2016	7/31/2017
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	9/23/2016	7/31/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/13/2015	8/16/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/13/2015	8/16/2017
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/17/2016	7/31/2017

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	11/18/2014	7/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/18/2014	7/31/2017
Inactive	Lighthouse Ins Group LLC	767716	Agent - Life	8/3/2016	7/31/2017
Inactive	Lighthouse Ins Group LLC	767716	Agent - Health	8/3/2016	7/31/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	9/6/2018	11/12/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	9/6/2018	11/12/2018