DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Mark Steven	DOIID	986120	NAIC NPN	18703143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/28/2018	9/30/2023
Inactive	Non Resident	Agent	Health	2/28/2018	9/30/2023
* 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	AXIS Insurance Company	301290	Agent - Health	6/1/2018	8/14/2023
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/19/2018	2/12/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/21/2021	9/30/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/21/2021	5/12/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/21/2021	5/12/2022
Inactive	Aspen American Insurance Company	301513	Agent - Health	9/8/2020	12/1/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/15/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/15/2018	7/18/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/18/2022	9/30/2023
Inactive	Companion Life Insurance Company	300191	Agent - Life	7/18/2022	9/30/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	1/31/2019	10/1/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	1/31/2019	10/1/2019
Inactive	Federal Insurance Company	301144	Agent - Health	10/7/2019	9/30/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/15/2020	10/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/15/2020	10/3/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	5/21/2019	12/21/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/20/2021	2/16/2023
Inactive	National Health Insurance Company	300554	Agent - Health	2/10/2022	9/30/2023
Inactive	National Health Insurance Company	300554	Agent - Life	2/10/2022	9/30/2023
Inactive	Unified Life Insurance Company	543169	Agent - Health	6/4/2019	10/22/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	3/29/2021	9/30/2023
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/31/2022	12/22/2022

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	12/10/2019	5/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2019	9/30/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/15/2018	10/1/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	8/16/2022