DEPARTMENT OF INSURANCE

Name	Black, Mark Allen	DOIID	366149	NAIC NPN	7198579

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	3/29/1994	10/2/1998
Active	Non Resident	Staff Adjuster	Property & Casualty	12/13/2018		10/31/2025

*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
Staff Adjuster	08/15/2025	10/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	600 Independence Pkwy Chesapeake, VA 23327

Internet Information

Type	Address
Business Email	mablack@chubb.com