DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, David	DOIID	302633	NAIC NPN	7156814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/23/1997		12/31/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		12/31/2024
Active	Resident	Agent	Health	4/23/1997		12/31/2024
Active	Resident	Agent	Property	8/15/2000		12/31/2024
Active	Resident	Agent	Casualty	8/15/2000		12/31/2024
Inactive	Resident	Agent	General Lines	5/6/1997	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	12/3/2001	1/7/2002
Inactive	Allstate Indemnity Company	300778	Agent - Property	12/3/2001	1/7/2002
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	1/7/2002
Inactive	Allstate Insurance Company	300773	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	1/7/2002
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/10/2000	11/3/2005
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/10/2000	11/3/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	2/1/2002	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	2/1/2002	12/17/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/5/2014	6/1/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/5/2014	6/1/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/11/2002	6/9/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/11/2002	6/9/2023
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/19/2003	3/31/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/7/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/26/2022	11/4/2022
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/26/2022	11/4/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/11/2001	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/11/2001	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/1/2005	3/15/2016
Inactive	Delaware Life Insurance Company	301256	Agent - Life	11/11/2005	11/26/2007
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/8/2008	1/1/2013
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/8/2008	1/1/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/19/2011	1/1/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/19/2011	1/1/2013
Active	Erie Family Life Insurance Company	301400	Agent - Health	9/7/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	2/21/2022
Active	Erie Insurance Company	300230	Agent - Casualty	2/21/2022
Active	Erie Insurance Company	300230	Agent - Property	2/21/2022
Active	Erie Insurance Company of New York	789916	Agent - Casualty	2/21/2022
Active	Erie Insurance Company of New York	789916	Agent - Property	2/21/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	2/21/2022
Active	Erie Insurance Exchange	300789	Agent - Property	2/21/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	2/21/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	2/21/2022
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/23/1997	1/7/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/23/1997	1/7/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/31/2001	9/22/2009
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	5/20/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/20/2005	8/22/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/15/2015
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/15/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/5/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Active	Flagship City Insurance Company	789965	Agent - Casualty	2/21/2022
Active	Flagship City Insurance Company	789965	Agent - Property	2/21/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/28/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/28/2004
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	2/1/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	2/1/2002	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	2/20/2002	1/7/2005
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	2/20/2002	1/7/2005
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/22/2009
Active	Grange Indemnity Insurance Company	300793	Agent - Property	4/22/2009
Active	Grange Insurance Company	300234	Agent - Casualty	4/22/2009
Active	Grange Insurance Company	300234	Agent - Property	4/22/2009
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/22/2009	12/22/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/22/2009	12/22/2016
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/22/2009
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/22/2009
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/30/2011
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	1/30/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/20/2005	11/9/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/20/2005	11/9/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/20/2005	11/9/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/20/2005	11/9/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/20/2005	11/9/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/20/2005	11/9/2009
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/14/2012
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	8/14/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/11/2001	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	12/11/2001	2/3/2023
Active	Kentucky National Insurance Company	301625	Agent - Casualty	1/29/2002
Active	Kentucky National Insurance Company	301625	Agent - Property	1/29/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/28/1997	1/28/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	5/31/2001	1/28/2005
Active	MICO Insurance Company	301664	Agent - Casualty	11/3/2023
Active	MICO Insurance Company	301664	Agent - Property	11/3/2023
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/1/2002	12/17/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	2/1/2002	12/17/2014
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/15/2003	4/14/2021
Active	Midland National Life Insurance Company	300923	Agent - Life	2/15/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/11/2001	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/11/2001	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/1/2002	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/1/2002	12/16/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	12/11/2001
Active	Peerless Insurance Company	301910	Agent - Property	12/11/2001
Inactive	Physicians Life Insurance Company	300924	Agent - Life	4/17/2002	10/17/2002
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	4/17/2002	10/17/2002
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/20/2005
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	10/20/2005
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/26/2022	11/16/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/26/2022	11/16/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/11/2002	8/13/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/11/2002	8/13/2024
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/25/2002	3/15/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	2/25/2002	3/15/2004
Active	The Phoenix Insurance Company	301502	Agent - Casualty	3/11/2002
Active	The Phoenix Insurance Company	301502	Agent - Property	3/11/2002
Inactive	TravCo Insurance Company	301828	Agent - Casualty	3/11/2002	12/5/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	3/11/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/5/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/18/2005
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/18/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/26/2022	11/4/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/26/2022	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/26/2022	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/26/2022	11/4/2022
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/26/2022
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/26/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/26/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Property	7/26/2022
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/5/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/22/2012
Active	Trustgard Insurance Company	300104	Agent - Casualty	4/22/2009
Active	Trustgard Insurance Company	300104	Agent - Property	4/22/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/20/2005	11/9/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/20/2005	11/9/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/14/2004	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/14/2004	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/14/2004	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/14/2004	12/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	David Martin Insurance Inc.	401120	Agent - Life	3/10/1999	2/28/2007
Inactive	David Martin Insurance Inc.	401120	Agent - Health	3/10/1999	2/28/2007
Inactive	David Martin Insurance Inc.	401120	Agent - General Lines	3/10/1999	8/15/2000
Inactive	David Martin Insurance Inc.	401120	Agent - Property	8/15/2000	2/28/2007
Inactive	David Martin Insurance Inc.	401120	Agent - Casualty	8/15/2000	2/28/2007
Active	Hamilton-Martin Insurance Inc.	511447	Agent - Life	2/20/2007
Inactive	Hamilton-Martin Insurance Inc.	511447	Agent - Health	8/3/2007	7/12/2022
Active	Hamilton-Martin Insurance Inc.	511447	Agent - Property	2/20/2002
Active	Hamilton-Martin Insurance Inc.	511447	Agent - Casualty	2/20/2002
Active	Heritage Insurance Agency Inc.	400711	Agent - Life	7/27/2022
Active	Heritage Insurance Agency Inc.	400711	Agent - Health	9/7/2022
Active	Heritage Insurance Agency Inc.	400711	Agent - Property	7/27/2022
Active	Heritage Insurance Agency Inc.	400711	Agent - Casualty	7/27/2022