DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Mark P	DOIID	941617	NAIC NPN	8444628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2017		10/31/2024
Active	Non Resident	Agent	Life	1/10/2017		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/25/2017	6/16/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/25/2017	6/16/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	11/13/2017	12/11/2019
Active	National Health Insurance Company	300554	Agent - Health	11/9/2018
Active	National Health Insurance Company	300554	Agent - Life	11/9/2018
Active	Transamerica Life Insurance Company	300571	Agent - Health	12/3/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/3/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	1/26/2017	6/16/2017
Inactive	Ushealth Advisors Llc	713288	Agent - Health	1/26/2017	6/16/2017