Individual Information

MARK LEE HENSON

Address:

SPOTSYLVANIA, VA 22551-8954

Status:

Active

Email:

aalicensing@allianzassistance.com

Date:

06/11/2010

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	702689	06/11/2010	Active	06/11/2010	06/30/2028
Non-Res. Managing Gen. Agt/Agy	3184694	09/07/2016	Active	12/24/2019	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/11/2010	Active	06/11/2010
Health	09/07/2010	Active	09/07/2010
Life	09/07/2010	Active	09/07/2010
Limited Travel Baggage	11/19/2019	Active	11/19/2019
Managing General Agent	09/07/2016	Active	12/24/2019
Property	06/11/2010	Active	06/11/2010
Fraternal Health	10/21/2019	Inactive	11/18/2019
Fraternal Life	10/21/2019	Inactive	11/18/2019
Fraternal Variable Annuity	10/21/2019	Inactive	11/18/2019

Company Name	Appointment Type	Status	Active Date
397
BCS INSURANCE COMPANY	Casualty	Active	06/30/2010
	Health	Active	10/05/2010
	Property	Active	06/30/2010
349
Company Name	Appointment Type	Status	Active Date
JEFFERSON INSURANCE COMPANY	Casualty	Active	06/30/2010
	Property	Active	06/30/2010

row(s) 1 - 5 of 5

Organization	Association Type	Type	Beg dte	End dte
AGA SERVICE COMPANY	Designated Resp Lic MGA	Agency	10/19/2022	-
AGA SERVICE COMPANY	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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