DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Theiren	DOIID	1076232	NAIC NPN	19082897

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/26/2023	7/31/2026
Active	Non Resident	Agent	Life	6/26/2023	7/31/2026
* 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	05/15/2024	07/31/2024	06/18/2024	06/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	8/18/2021	7/31/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/28/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/18/2021	7/31/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/6/2020	7/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	8/17/2021	7/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	8/17/2021	7/31/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/16/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/16/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/16/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/12/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/1/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/16/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/18/2021	7/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/18/2021	7/31/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	4/25/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	4/25/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023
Active	Humana Insurance Company	301104	Agent - Health	8/30/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/19/2023
Active	SilverScript Insurance Company	663526	Agent - Health	7/28/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/28/2020	8/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/28/2020	8/31/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/24/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anhelo Insurance Solutions LLC	1112782	Agent - Life	6/12/2021	7/31/2022
Inactive	Anhelo Insurance Solutions LLC	1112782	Agent - Health	6/12/2021	7/31/2022
Inactive	Ensurem II LLC	908041	Agent - Life	12/2/2021	4/6/2022
Inactive	Ensurem II LLC	908041	Agent - Health	12/2/2021	4/6/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	6/11/2021	3/13/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	6/11/2021	3/13/2022