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DEPARTMENT OF INSURANCE
Affiliations
Name
Martin, Douglas Grant
DOIID
304893
NAIC NPN
1890943
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
6/1/1981
7/1/2004
Inactive
Resident
Agent
Health Maintenance Organization
12/8/1989
3/1/2001
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
7/1/2004
Inactive
Resident
Agent
Health
6/1/1981
7/1/2004
Inactive
Resident
Agent
General Lines
10/6/1993
8/15/2000
Inactive
Resident
Agent
Casualty
8/15/2000
7/1/2004
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AXA XL Insurance Company Americas
300979
Agent - General Lines
10/6/1993
3/31/2000
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
4/1/1996
12/31/1998
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
4/1/1996
12/31/1998
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
3/6/1985
3/31/1997
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
3/6/1985
3/31/1997
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
4/1/2002
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
12/8/1989
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
2/15/2000
7/1/2004
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/15/2000
7/1/2004
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
1/17/1996
3/31/1997
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
1/17/1996
3/31/1997
Inactive
Continental General Insurance Company
300691
Agent - Health
1/19/2001
11/19/2002
Inactive
Continental General Insurance Company
300691
Agent - Life
1/19/2001
11/19/2002
Inactive
First Colony Life Insurance Company
301179
Agent - Life
5/11/1994
6/7/2003
Inactive
Golden Rule Insurance Company
301943
Agent - Health
4/23/1987
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
4/23/1987
3/31/1997
Inactive
Infinity Insurance Company
300416
Agent - Casualty
8/15/2000
3/31/2002
Inactive
Infinity Insurance Company
300416
Agent - General Lines
4/25/1994
8/15/2000
Inactive
Kentucky National Insurance Company
301625
Agent - General Lines
4/11/1994
1/2/1996
Inactive
LifeUSA Insurance Company
300386
Agent - Health
11/1/1994
3/31/1997
Inactive
LifeUSA Insurance Company
300386
Agent - Life
11/1/1994
3/31/1997
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Health
10/17/1990
8/1/2003
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
10/17/1990
8/1/2003
Inactive
New York Life Insurance Company
300431
Agent - Health
6/1/1981
8/1/2003
Inactive
New York Life Insurance Company
300431
Agent - Life
6/1/1981
8/1/2003
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
11/24/1981
8/1/2003
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
11/24/1981
8/1/2003
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
2/8/2001
8/1/2003
Inactive
Old Republic Life Insurance Company
301214
Agent - Health
4/13/1993
1/17/1996
Inactive
Old Republic Life Insurance Company
301214
Agent - Life
4/13/1993
1/17/1996
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
8/22/1995
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
8/22/1995
7/1/2004
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/8/1994
1/30/2004
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/8/1994
1/30/2004
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
10/28/1994
3/31/1997
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
10/28/1994
3/31/1997
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
10/4/1989
12/19/2001
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
10/4/1989
12/19/2001
Inactive
State Life Insurance Company
301497
Agent - Health
3/29/2003
7/1/2004
Inactive
State Life Insurance Company
301497
Agent - Life
3/29/2003
7/1/2004
Inactive
Time Insurance Company
300683
Agent - Health
11/6/2000
7/1/2004
Inactive
Time Insurance Company
300683
Agent - Life
11/6/2000
7/1/2004
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/29/1988
7/1/2004
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/29/1988
7/1/2004
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/24/1999
7/1/2004
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/24/1999
7/1/2004
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
2/20/2002
7/1/2004
Inactive
Insurance One Inc.
399840
Agent - Life
10/21/1991
5/31/2004
Inactive
Insurance One Inc.
399840
Agent - Health
10/21/1991
5/31/2004
Inactive
K T T Insurance Agency Inc.
399488
Agent - Life
11/2/1989
7/1/2004
Inactive
K T T Insurance Agency Inc.
399488
Agent - Health
11/2/1989
5/31/2003
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