DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hurbanis, Mark	DOIID	1271102	NAIC NPN	19943552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	4/26/2023		6/30/2025
Pending Replacement	Non Resident	Agent	Property	4/26/2023		6/30/2025
* 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	Bristol West Insurance Company	301655	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/10/2023	2/20/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/10/2023	2/20/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/10/2023	2/20/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/10/2023	2/20/2025
Inactive	Root Insurance Company	964834	Agent - Casualty	5/1/2024	11/5/2024
Inactive	Root Insurance Company	964834	Agent - Property	5/1/2024	11/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	5/10/2023	11/4/2024
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Property	5/10/2023	11/4/2024
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Casualty	5/10/2023	11/4/2024
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Property	5/10/2023	11/4/2024