DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Jerry P	DOIID	303335	NAIC NPN	7157147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/25/2015	3/31/2018
Inactive	Resident	Agent	Credit Life & Health	8/26/1994	8/10/1999
Inactive	Non Resident	Agent	Casualty	2/25/2015	3/31/2018
Inactive	Non Resident	Agent	Property	2/25/2015	3/31/2018
Inactive	Non Resident	Agent	Health	2/25/2015	3/31/2018
* 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	Accident Fund General Insurance Company	626282	Agent - Casualty	8/24/2015	3/31/2018
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	8/24/2015	3/31/2018
Inactive	Accident Fund National Insurance Company	626286	Agent - Casualty	8/24/2015	3/31/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	9/16/2015	1/22/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	9/16/2015	1/22/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/14/2015	3/31/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/27/2015	3/31/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/27/2015	3/31/2018
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/27/2015	3/31/2018
Inactive	Grange Insurance Company	300234	Agent - Property	8/27/2015	3/31/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/27/2015	3/31/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/27/2015	3/31/2018
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/9/1998	8/10/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/26/1994	9/8/1998
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/27/2015	3/31/2018
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/27/2015	3/31/2018
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Credit Life & Health	2/14/1995	7/15/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Westan Ins Group	597704	Agent - Life	9/14/2015	3/31/2018
Inactive	Westan Ins Group	597704	Agent - Health	9/16/2015	1/22/2018
Inactive	Westan Ins Group	597704	Agent - Property	8/27/2015	3/31/2018
Inactive	Westan Ins Group	597704	Agent - Casualty	8/24/2015	3/31/2018