DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fails, Mark Steven	DOIID	831263	NAIC NPN	17137491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/10/2014	12/31/2021
Inactive	Non Resident	Agent	Life	1/10/2014	12/31/2021
* 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	AXIS Insurance Company	301290	Agent - Health	11/30/2017	10/10/2019
Inactive	Federal Insurance Company	301144	Agent - Health	11/21/2017	9/7/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/4/2014	5/25/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/4/2014	5/25/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/5/2020	1/4/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/5/2020	1/4/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	5/17/2019	10/7/2019
Inactive	National Health Insurance Company	300554	Agent - Health	3/31/2020	12/31/2021
Inactive	National Health Insurance Company	300554	Agent - Life	3/31/2020	12/31/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/13/2019	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/27/2020	12/31/2021