DEPARTMENT OF INSURANCE

Affiliations

Name	Classen, Martin	DOIID	959717	NAIC NPN	16847268

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/26/2024		5/31/2026
Inactive	Non Resident	Agent	Life	5/9/2023	5/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/27/2017	7/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/2/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	2/2/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/27/2017	7/8/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	5/31/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	5/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/30/2019	5/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/30/2019	5/31/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/20/2020	4/30/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	5/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/24/2017	1/12/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/27/2017	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/24/2017	1/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/24/2017	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/24/2017	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/24/2017	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/24/2017	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/24/2017	1/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/24/2017	1/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/24/2017	1/12/2018
Active	SilverScript Insurance Company	663526	Agent - Health	2/2/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/8/2017	2/22/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/8/2017	2/22/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/8/2017	2/22/2018

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	1/30/2019	5/31/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/30/2019	5/31/2022