PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBrackett, Mark DOIID743933NAIC NPN16100750
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLimited Line Credit12/9/2010 2/28/2026
InactiveResidentAgentLife3/3/20113/1/2022 
InactiveResidentAgentHealth3/3/20113/1/2022 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Health and Life Insurance Company300844Agent - Health2/21/20173/16/2020
InactiveAmerican Health and Life Insurance Company300844Agent - Life2/21/20173/16/2020
InactiveAmerican Health and Life Insurance Company300844Agent - Limited Line Credit2/21/20173/16/2020
ActiveLyndon Southern Insurance Company609602Agent - Limited Line Credit2/16/2022 
InactiveMerit Life Insurance Co.300150Agent - Health3/3/201112/12/2018
InactiveMerit Life Insurance Co.300150Agent - Life3/3/201112/12/2018
InactiveMerit Life Insurance Co.300150Agent - Limited Line Credit12/9/201012/12/2018
InactiveSouthern Financial Life Insurance Company300664Agent - Health2/16/20223/1/2022
InactiveSouthern Financial Life Insurance Company300664Agent - Life2/16/20223/1/2022
ActiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit2/16/2022 
InactiveTriton Insurance Company300654Agent - Limited Line Credit2/21/20173/16/2020
InactiveYosemite Insurance Company301519Agent - Limited Line Credit12/9/20101/23/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHeights Finance Corp399042Agent - Limited Line Credit3/7/20253/31/2025
InactiveInterstate Agency Inc610890Agent - Limited Line Credit8/10/20182/21/2019
InactiveInterstate Agency Inc610890Agent - Life8/10/20182/21/2019
InactiveInterstate Agency Inc610890Agent - Health8/10/20182/21/2019
InactiveOneMain Financial Of America, Inc821439Agent - Limited Line Credit3/17/20163/2/2018
InactiveOneMain Financial Of America, Inc821439Agent - Life2/22/20163/2/2018
InactiveOneMain Financial Of America, Inc821439Agent - Health2/22/20163/2/2018
InactiveOnemain Assurance Services LLC751094Agent - Limited Line Credit8/22/20183/16/2020
InactiveOnemain Assurance Services LLC751094Agent - Life6/19/20183/16/2020
InactiveOnemain Assurance Services LLC751094Agent - Health6/19/20183/16/2020

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