DEPARTMENT OF INSURANCE

Affiliations

Name	Mark-Rasavong, Anna	DOIID	828252	NAIC NPN	11593036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/22/2013	11/30/2024
Active	Non Resident	Agent	Health	7/26/2019	11/30/2024
Active	Non Resident	Agent	Life	7/26/2019	11/30/2024
Active	Non Resident	Agent	Casualty	11/22/2013	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/6/2013
Active	ACE American Insurance Company	300625	Agent - Property	12/6/2013
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/11/2013	5/14/2017
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/11/2013	5/14/2017
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	12/6/2013	2/23/2018
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	12/6/2013	2/23/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	12/6/2013	2/23/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	12/6/2013	2/23/2018
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	9/9/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	9/9/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/11/2013	9/12/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/11/2013	9/12/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/11/2013	9/12/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/11/2013	9/12/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/11/2013	9/12/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/11/2013	9/12/2016
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	12/6/2013
Active	Bankers Standard Insurance Company	301620	Agent - Property	12/6/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/28/2015	11/21/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/28/2015	11/21/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/19/2013	2/13/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/19/2013	2/13/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	12/19/2013	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	12/19/2013	12/13/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/25/2014	6/24/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	4/25/2014	6/24/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/20/2013	9/6/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/20/2013	9/6/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/6/2018	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/6/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/6/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/6/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/6/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/6/2018	8/29/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	12/6/2013	2/23/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	12/6/2013	2/23/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	12/6/2013	2/23/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	12/6/2013	2/23/2018
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/6/2013
Active	Indemnity Insurance Company of North America	301760	Agent - Property	12/6/2013
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	12/6/2013	2/23/2018
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	12/6/2013	2/23/2018
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	12/6/2013
Active	Pacific Employers Insurance Company	301753	Agent - Property	12/6/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/10/2013	3/28/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/10/2013	3/28/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/10/2013	3/28/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/10/2013	3/28/2018
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	12/11/2013	9/7/2016
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	12/11/2013	9/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	8/25/2016	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	8/25/2016	10/9/2019
Active	Usi Insurance Services LLC	669260	Agent - Property	1/3/2019
Active	Usi Insurance Services LLC	669260	Agent - Casualty	1/3/2019
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	12/10/2013	8/23/2016
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	12/10/2013	8/23/2016