DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Mark E	DOIID	813684	NAIC NPN	6541428

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/2/2013		11/30/2025
Active	Non Resident	Agent	Health	7/2/2013		11/30/2025
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/18/2013
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/18/2013
Active	Arch Insurance Company	300688	Agent - Health	5/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cool Insuring Agency, Inc.	543534	Agent - Health	3/29/2018	3/31/2022
Inactive	Cool Insuring Agency, Inc.	543534	Agent - Life	3/29/2018	3/31/2022
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/26/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/26/2024