DEPARTMENT OF INSURANCE

Affiliations

Name	Bristol, Mark M	DOIID	968117	NAIC NPN	18473072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/15/2017	1/31/2021
Inactive	Non Resident	Agent	Life	9/15/2017	1/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2017	1/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/20/2017	12/15/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2017	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/9/2017	1/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	10/20/2017	12/15/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/2/2018	1/23/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/2/2018	1/23/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/11/2019	1/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/11/2019	1/31/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/6/2017	1/31/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/6/2017	1/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/20/2017	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/27/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/9/2017	1/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/18/2018	7/25/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/18/2018	7/25/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/28/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2017	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/2017	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/28/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/28/2017	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	3/29/2018	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	3/29/2018	12/21/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	1/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2019	1/20/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/29/2019	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2019	1/20/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	1/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	6/25/2018	1/31/2021
Inactive	SelectQuote Insurance Services	533194	Agent - Health	6/25/2018	1/31/2021