DEPARTMENT OF INSURANCE

Affiliations

Name	Bastidas, Martin A	DOIID	1096200	NAIC NPN	19054171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/1/2020		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/24/2023	2/15/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/22/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/22/2022	3/5/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/27/2021	3/13/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/22/2022	3/5/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2022	3/5/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/28/2024	5/12/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	5/2/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/28/2024	5/12/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/1/2024	3/17/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/28/2024	5/12/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/27/2021	3/13/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2023	8/2/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/7/2023	2/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/22/2022	3/5/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2024	3/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/1/2024	3/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/4/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/4/2020	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/27/2023	1/16/2024