DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Juan Andres	DOIID	1163601	NAIC NPN	17869897

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2021		4/30/2026
Active	Non Resident	Agent	Casualty	11/9/2021		4/30/2026
Active	Non Resident	Agent	Life	10/2/2021		4/30/2026
Active	Non Resident	Agent	Property	11/9/2021		4/30/2026
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/12/2024
Active	Bristol West Insurance Company	301655	Agent - Property	9/12/2024
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	11/17/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/24/2021	8/18/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/29/2022	8/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	2/4/2022