DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benavides, Martha	DOIID	1148231	NAIC NPN	19978699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/30/2021	9/30/2023
Inactive	Non Resident	Agent	Life	7/30/2021	9/30/2023
* 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
Inactive	American Income Life Insurance Company	300256	Agent - Health	12/13/2021	6/2/2022
Inactive	American Income Life Insurance Company	300256	Agent - Life	12/13/2021	6/2/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/17/2023	9/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/17/2023	9/30/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	4/17/2023	9/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/17/2023	9/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/17/2023	9/30/2023
Inactive	Unum Insurance Company	301499	Agent - Health	4/17/2023	9/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	4/17/2023	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health