DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hellickson, Mark Allan	DOIID	719657	NAIC NPN	351879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/17/2023		7/31/2028
Active	Non Resident	Agent	Health	8/17/2023		7/31/2028
* 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
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/18/2026
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/18/2026
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/21/2009	3/16/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/21/2009	3/16/2010
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/18/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/18/2026
Active	Unum Insurance Company	301499	Agent - Health	9/18/2026
Active	Unum Insurance Company	301499	Agent - Life	9/18/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Life	9/18/2026
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Health	9/18/2026
Denied	Crc Insurance Services, LLC	502276	Agent - Life
Denied	Crc Insurance Services, LLC	502276	Agent - Health