DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martell, Kathleen M	DOIID	1237477	NAIC NPN	19346492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		12/31/2024
Active	Non Resident	Agent	Life	10/18/2022		12/31/2024
* 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	10/15/2024	12/31/2024

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	10/21/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/21/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/21/2022
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	1/5/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	3/16/2023	12/1/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/28/2022	12/1/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/23/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/23/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Health	1/19/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/21/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	11/23/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/23/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/23/2022
Active	Unum Insurance Company	301499	Agent - Health	11/23/2022
Active	Unum Insurance Company	301499	Agent - Life	11/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022
Active	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022