DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lutolf, Mark	DOIID	969292	NAIC NPN	17059749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/25/2017	4/30/2019
Inactive	Non Resident	Agent	Life	9/25/2017	4/30/2019
* 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 and Life Insurance Company	300523	Agent - Health	12/28/2017	4/30/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	12/28/2017	4/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/2017	4/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/2017	4/30/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/28/2017	4/30/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/27/2017	12/28/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/27/2017	12/28/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/8/2018	4/30/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/8/2018	4/30/2019

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	10/10/2017	4/30/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2017	4/30/2019