DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O Brien, Mark G	DOIID	925095	NAIC NPN	17981074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	7/7/2021	2/1/2024
Inactive	Resident	Agent	Property	7/7/2021	2/1/2024
Inactive	Non Resident	Agent	Health	8/17/2016	10/19/2016
Inactive	Resident	Agent	Life	8/2/2021	2/1/2024
* 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 Income Life Insurance Company	300256	Agent - Health	8/23/2016	12/1/2016
Inactive	American Income Life Insurance Company	300256	Agent - Life	8/23/2016	12/1/2016
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	8/3/2021	1/17/2022
Inactive	Middlesex Insurance Company	590568	Agent - Property	8/3/2021	1/17/2022
Inactive	Sentry Casualty Company	590569	Agent - Casualty	8/3/2021	1/17/2022
Inactive	Sentry Casualty Company	590569	Agent - Property	8/3/2021	1/17/2022
Inactive	Sentry Insurance Company	300222	Agent - Casualty	8/3/2021	1/17/2022
Inactive	Sentry Insurance Company	300222	Agent - Property	8/3/2021	1/17/2022
Inactive	Sentry Life Insurance Company	301461	Agent - Life	8/3/2021	1/17/2022
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	8/3/2021	1/17/2022
Inactive	Sentry Select Insurance Company	301648	Agent - Property	8/3/2021	1/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker Stevens Agency LLC	558419	Agent - Casualty	1/10/2022	1/17/2022
Inactive	Parker Stevens Agency LLC	558419	Agent - Property	1/10/2022	1/17/2022