DEPARTMENT OF INSURANCE
Affiliations
NameMartin, Douglas GrantDOIID304893NAIC NPN1890943
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/1/19817/1/2004 
InactiveResidentAgentHealth Maintenance Organization12/8/19893/1/2001 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20017/1/2004 
InactiveResidentAgentHealth6/1/19817/1/2004 
InactiveResidentAgentGeneral Lines10/6/19938/15/2000 
InactiveResidentAgentCasualty8/15/20007/1/2004 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health4/1/199612/31/1998
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life4/1/199612/31/1998
InactiveAmeritas Life Insurance Corporation300126Agent - Health3/6/19853/31/1997
InactiveAmeritas Life Insurance Corporation300126Agent - Life3/6/19853/31/1997
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization12/8/19893/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health2/15/20007/1/2004
InactiveAnthem Life Insurance Company301209Agent - Life2/15/20007/1/2004
InactiveCatlin Insurance Company, Inc.300979Agent - General Lines10/6/19933/31/2000
InactiveCentennial Life Insurance Company (The)301561Agent - Health1/17/19963/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life1/17/19963/31/1997
InactiveContinental General Insurance Company300691Agent - Health1/19/200111/19/2002
InactiveContinental General Insurance Company300691Agent - Life1/19/200111/19/2002
InactiveFirst Colony Life Insurance Company301179Agent - Life5/11/19946/7/2003
InactiveGolden Rule Insurance Company301943Agent - Health4/23/19873/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life4/23/19873/31/1997
InactiveInfinity Insurance Company300416Agent - Casualty8/15/20003/31/2002
InactiveInfinity Insurance Company300416Agent - General Lines4/25/19948/15/2000
InactiveKentucky National Insurance Company301625Agent - General Lines4/11/19941/2/1996
InactiveLifeUSA Insurance Company300386Agent - Health11/1/19943/31/1997
InactiveLifeUSA Insurance Company300386Agent - Life11/1/19943/31/1997
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health10/17/19908/1/2003
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life10/17/19908/1/2003
InactiveNew York Life Insurance Company300431Agent - Health6/1/19818/1/2003
InactiveNew York Life Insurance Company300431Agent - Life6/1/19818/1/2003
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health11/24/19818/1/2003
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life11/24/19818/1/2003
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities2/8/20018/1/2003
InactiveOld Republic Life Insurance Company301214Agent - Health4/13/19931/17/1996
InactiveOld Republic Life Insurance Company301214Agent - Life4/13/19931/17/1996
InactivePaul Revere Life Insurance Company300971Agent - Health8/22/199512/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life8/22/19957/1/2004
InactiveProtective Life Insurance Company300638Agent - Health3/8/19941/30/2004
InactiveProtective Life Insurance Company300638Agent - Life3/8/19941/30/2004
InactiveReassure America Life Insurance Company300678Agent - Health10/28/19943/31/1997
InactiveReassure America Life Insurance Company300678Agent - Life10/28/19943/31/1997
InactiveShenandoah Life Insurance Company300130Agent - Health10/4/198912/19/2001
InactiveShenandoah Life Insurance Company300130Agent - Life10/4/198912/19/2001
InactiveState Life Insurance Company301497Agent - Health3/29/20037/1/2004
InactiveState Life Insurance Company301497Agent - Life3/29/20037/1/2004
InactiveTime Insurance Company300683Agent - Health11/6/20007/1/2004
InactiveTime Insurance Company300683Agent - Life11/6/20007/1/2004
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/29/19887/1/2004
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/29/19887/1/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/24/19997/1/2004
InactiveArison Insurance Services, Inc.401001Agent - Health8/24/19997/1/2004
InactiveDental Choice Agency Inc.398085Agent - Health2/20/20027/1/2004
InactiveInsurance One Inc.399840Agent - Life10/21/19915/31/2004
InactiveInsurance One Inc.399840Agent - Health10/21/19915/31/2004
InactiveK T T Insurance Agency Inc.399488Agent - Life11/2/19897/1/2004
InactiveK T T Insurance Agency Inc.399488Agent - Health11/2/19895/31/2003

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