DEPARTMENT OF INSURANCE

Affiliations

Name	Debol, Mark Ronald	DOIID	883000	NAIC NPN	17625802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/13/2015	6/30/2021
Inactive	Non Resident	Agent	Health	7/13/2015	6/30/2021
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/30/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/3/2016	2/24/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2019	6/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	2/24/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/3/2016	2/24/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/30/2019	2/24/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	5/1/2020	6/30/2021
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	2/3/2017	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	8/24/2015	3/25/2016
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/28/2020	6/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2020	1/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2020	1/28/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/22/2020	12/30/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/28/2016	8/23/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/29/2019	6/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/7/2016	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/3/2016	2/24/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/4/2020	12/30/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2019	12/30/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/7/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2019	12/30/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/7/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/7/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/7/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/7/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/11/2019	2/24/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/8/2020	12/16/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/8/2020	12/16/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/8/2020	12/16/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/14/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/8/2020	12/16/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/18/2017	1/13/2020

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	7/24/2020	1/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/24/2020	1/31/2021
Inactive	Ensurem II LLC	908041	Agent - Health	5/15/2019	12/28/2020
Inactive	Ensurem II LLC	908041	Agent - Life	5/15/2019	12/28/2020