DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Michael Anthony	DOIID	1140460	NAIC NPN	19099395

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/18/2021		4/30/2025
Active	Non Resident	Agent	Life	6/18/2021		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	6/28/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/28/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/28/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	5/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/28/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/14/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	5/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024