DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hackert, Mark Francis	DOIID	933823	NAIC NPN	18090349

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/18/2016	3/31/2018
Inactive	Non Resident	Agent	Health	10/18/2016	3/31/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/25/2017	2/21/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2017	2/21/2018
Inactive	National Health Insurance Company	300554	Agent - Health	12/7/2017	3/31/2018
Inactive	New York Life Insurance Company	300431	Agent - Health	10/20/2016	9/6/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	10/20/2016	9/6/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	10/20/2016	9/6/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/20/2016	9/6/2017

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 - Life	10/27/2017	2/20/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/27/2017	2/20/2018