black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK E. FOGG

PRODUCER NON-RESIDENT

License Number:
PRN223172
Status:
First Licensure:
10/09/2013
Cancel Date:
None

Mailing:
MUNCIE, IN 47305
Phone:
+1 (317) 877-9811
Fax:
+1 (765) 287-2480
Email:
mark.fogg@unitedagy.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/09/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE GREAT LAKES PARTNERS INSURANCE SERVICES, LLC
11/21/2024 AGN450447
ACRISURE LLC
10/09/2013 AGN160630

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 10/09/2013 Active
PROPERTY 10/09/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1024372

Other Addresses

Address Type
760 3RD AVE SW
CARMEL, IN 46032-2072
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/25/2025 11:02:59 PM