black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK A. BATES

PRODUCER NON-RESIDENT

License Number:
PRN478654
Status:
First Licensure:
03/10/2024
Cancel Date:
None

Mailing:
CROWN POINT, IN 46308
Phone:
+1 (219) 663-2483 x641
Fax:
+1 (219) 662-3284
Email:
markbates@worldinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/10/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF AMERICA
03/10/2024 PCF456095
SELECTIVE INSURANCE COMPANY OF NEW YORK
03/20/2024 PCF437
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
03/10/2024 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
03/10/2024 PCF456098
SELECTIVE WAY INSURANCE COMPANY
03/10/2024 PCF456096

Authority

Description Issue Date Termination Date Status
CASUALTY 03/10/2024 Active
PROPERTY 03/10/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
524310

Other Addresses

Address Type
216 E JOLIET ST
CROWN POINT, IN 46307-4002
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: 05/14/2025 06:25:47 AM