DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Watts, Mark E	DOIID	999562	NAIC NPN	5697204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/28/2018		1/31/2025
Active	Non Resident	Agent	Life	6/28/2018		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/5/2018	6/1/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/5/2018	6/1/2021
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	12/14/2023
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/5/2018	6/1/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/5/2018	6/1/2021