DEPARTMENT OF INSURANCE
Affiliations
NameChavez, Mark DOIID986380NAIC NPN11056068
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/2/20189/30/2021 
InactiveNon ResidentAgentLife3/2/20189/30/2021 
InactiveNon ResidentAgentVariable Life and Variable Annuities3/2/20189/30/2021 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/8/20219/30/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/8/20219/30/2021
InactiveMinnesota Life Insurance Company300488Agent - Health3/12/20189/30/2021
InactiveMinnesota Life Insurance Company300488Agent - Life3/12/20189/30/2021
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities3/12/20189/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLPL FINANCIAL LLC399327Agent - Health7/22/20219/30/2021
InactiveLPL FINANCIAL LLC399327Agent - Life7/22/20219/30/2021
InactiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities7/22/20219/30/2021
InactiveW & R Insurance Agency398729Agent - Health3/12/20189/30/2021
InactiveW & R Insurance Agency398729Agent - Life3/12/20189/30/2021
InactiveW & R Insurance Agency398729Agent - Variable Life and Variable Annuities3/12/20189/30/2021

© Commonwealth of Kentucky. All rights reserved.