DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Mark	DOIID	926356	NAIC NPN	18032231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/26/2016	5/31/2021
Inactive	Non Resident	Agent	Life	8/26/2016	5/31/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/4/2019	7/24/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	9/24/2018	2/12/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/20/2018	4/7/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/20/2018	4/7/2020
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/9/2017	3/12/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	5/20/2019	10/6/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	5/20/2019	10/6/2019
Inactive	Everest Reinsurance Company	301836	Agent - Health	11/21/2016	4/2/2021
Inactive	Federal Insurance Company	301144	Agent - Health	4/18/2017	5/31/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/22/2019	5/31/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/20/2016	12/28/2017

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 - Life	6/20/2018	4/7/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/20/2018	5/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	5/31/2021