DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Eviston, Mark P	DOIID	546048	NAIC NPN	1822105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/2019		1/31/2026
Active	Non Resident	Agent	Life	9/30/2019		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/12/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/12/2019	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/12/2019	3/31/2025
Inactive	Superior Dental Care Inc.	300418	Agent - Health	3/11/2002	3/10/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/16/2019	2/10/2025