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	Health	8/17/2023		7/31/2028
Active	Non Resident	Agent	Life	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026	05/06/2026	05/06/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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

Designated to act on behalf of the following Business Entities

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