DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Selvig, Mark W	DOIID	818314	NAIC NPN	5443217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2013	7/31/2017
* 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	5/2/2014	7/31/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	8/28/2014	7/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2014	7/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014	7/31/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/13/2014	7/31/2017
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	9/8/2013	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 - Health	11/22/2013	6/27/2014