DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Mark Gordon	DOIID	1019767	NAIC NPN	17146116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	11/20/2018	4/30/2026
Pending Replacement	Non Resident	Agent	Life	11/20/2018	4/30/2026
* 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	10/3/2019	5/4/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	10/3/2019	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/14/2019	7/24/2020
Pending Replacement	American Financial Security Life Insurance Co.	301635	Agent - Health	9/9/2021
Pending Replacement	Ameritas Life Insurance Corporation	300126	Agent - Health	12/19/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2019	4/15/2025
Inactive	Aspen American Insurance Company	301513	Agent - Health	6/14/2019	12/1/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/5/2020	12/20/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/5/2020	12/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/21/2019	2/18/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/21/2019	2/18/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/3/2019	5/4/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/26/2018	5/8/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/26/2018	5/8/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/23/2019	5/4/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/23/2019	5/4/2026
Inactive	LifeShield National Insurance Company	737111	Agent - Health	5/24/2019	12/21/2021
Pending Replacement	Minnesota Life Insurance Company	300488	Agent - Health	7/16/2020
Pending Replacement	Minnesota Life Insurance Company	300488	Agent - Life	7/16/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	9/13/2021	10/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/7/2019	5/8/2019
Pending Replacement	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/18/2023
Pending Replacement	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/18/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/26/2018	5/8/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/26/2018	5/8/2019