DEPARTMENT OF INSURANCE

Affiliations

Name	Mazman, Mark	DOIID	951608	NAIC NPN	16134166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/15/2023		9/30/2025
Active	Non Resident	Agent	Life	12/15/2023		9/30/2025
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	4/18/2017	9/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/3/2019	9/30/2023
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/2/2019	9/30/2023
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	12/2/2019	9/30/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/11/2017	9/30/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/11/2017	9/30/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/11/2017	9/30/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/7/2018	12/17/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/7/2018	12/17/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	5/7/2018	12/17/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	6/29/2018	9/30/2023
Inactive	State Life Insurance Company	301497	Agent - Health	6/18/2018	4/20/2020
Inactive	State Life Insurance Company	301497	Agent - Life	6/18/2018	4/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	7/24/2020	9/30/2023
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	7/24/2020	9/30/2023
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Variable Life and Variable Annuities	7/24/2020	9/30/2023