black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK LEE HENSON

PRODUCER LIMITED NON-RESIDENT

License Number:
PLN342155
Status:
First Licensure:
10/21/2019
Cancel Date:
None

Mailing:
SPOTSYLVANIA, VA 22551
Phone:
+1 (866) 455-6116
Fax:
+1 (804) 673-1598
Email:
licensing@allianzassistance.com

History

License Type Start Date End Date
PRODUCER LIMITED NON-RESIDENT 10/21/2019

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
TRAVEL AND BAGGAGE 10/21/2019 Active

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN178490
Status:
First Licensure:
06/10/2010
Cancel Date:
None

Mailing:
SPOTSYLVANIA, VA 22551
Phone:
+1 (866) 455-6116
Fax:
+1 (804) 673-1598
Email:
licensing@allianzassistance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/10/2010

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BCS INSURANCE COMPANY
06/30/2010 PCF928
JEFFERSON INSURANCE COMPANY
06/30/2010 PCF488
NATIONWIDE LIFE INSURANCE COMPANY
02/12/2014 LHF29 06/03/2019
NATIONWIDE MUTUAL INSURANCE COMPANY
02/12/2014 PCF32 06/03/2019

Authority

Description Issue Date Termination Date Status
CASUALTY 06/10/2010 Active
HEALTH 09/03/2010 Active
LIFE 09/03/2010 Active
PROPERTY 06/10/2010 Active

Responsible For

Name License Number
AGA SERVICE COMPANY AGN38374

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12520989

Other Addresses

Address Type
9950 MAYLAND DR
RICHMOND, VA 23233-1463
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: 05/22/2025 09:36:41 PM