DEPARTMENT OF INSURANCE

Affiliations

Name	Doherty, Mark Philip	DOIID	847472	NAIC NPN	17299321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/6/2014	8/11/2022
Inactive	Non Resident	Agent	Health	8/6/2014	8/11/2022
* 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 General Life Insurance Company	301585	Agent - Health	5/5/2017	9/12/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	5/5/2017	9/12/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/6/2018	8/11/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/6/2018	8/11/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/2/2021	8/22/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/2/2021	8/22/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/30/2018	8/11/2022
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/19/2020	8/11/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/13/2021	5/5/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/20/2020	8/25/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/20/2020	8/25/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	8/18/2014	9/28/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	8/18/2014	9/28/2016
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/5/2019	8/22/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/5/2019	8/22/2022
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/22/2019	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/22/2019	12/29/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/11/2017	9/23/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/11/2017	9/23/2020
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	10/8/2021	5/5/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/15/2014	8/11/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/25/2020	2/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/25/2020	2/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	11/30/2016	8/11/2022