DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Carlos Pablo	DOIID	1071481	NAIC NPN	10424012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/21/2020		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/2/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/2/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/29/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	4/20/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	4/20/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	1/29/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/29/2023	1/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2022	4/11/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/29/2023	1/16/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	4/20/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2023	1/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/29/2023	1/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/29/2023	1/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/27/2023	1/16/2024
Active	Lumico Life Insurance Company	300354	Agent - Health	5/3/2020
Active	SilverScript Insurance Company	663526	Agent - Health	7/2/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2022	4/11/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/22/2020	5/15/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2022	4/11/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	5/8/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Active	Designated Agent Company Inc.	681257	Agent - Health	1/31/2020
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	3/14/2024