DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Helen L	DOIID	321115	NAIC NPN	5061162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/9/1998	4/1/2013
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2013
Inactive	Resident	Agent	Property	8/15/2000	4/1/2013
Inactive	Resident	Agent	Health	2/9/1998	4/1/2013
Inactive	Resident	Agent	General Lines	3/10/1999	8/15/2000
* 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	American Fidelity Assurance Company	301004	Agent - Health	2/9/1998	7/31/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	2/9/1998	7/31/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/25/2002	3/19/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/25/2002	3/19/2003
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	2/8/2013
Inactive	Assurance Company of America	300432	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	2/8/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	11/2/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	11/2/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2010	4/1/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/26/2001	4/1/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/26/2001	4/1/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/27/2005	7/24/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2010	4/1/2013
Inactive	EMC National Life Company	300388	Agent - Life	4/21/2000	4/4/2007
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	5/16/2005	11/2/2011
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/16/2005	11/2/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/16/2012	4/1/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2012	4/1/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/16/2012	4/1/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/16/2012	4/1/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/16/2012	4/1/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/16/2012	4/1/2013
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/28/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/28/2005	11/10/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/11/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/11/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2010	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2010	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/14/2010	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2010	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/14/2010	4/1/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/26/2001	4/1/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	3/26/2001	4/1/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/16/2012	4/25/2013
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	2/8/2013
Inactive	Maryland Casualty Company	301719	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	2/8/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/28/2003	4/11/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/28/2003	4/11/2013
Inactive	Midland National Life Insurance Company	300923	Agent - Health	3/7/2000	12/29/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/7/2000	12/29/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/26/2001	4/1/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/26/2001	4/1/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	2/8/2013
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	2/8/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/26/2001	4/1/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	3/26/2001	4/1/2013
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	11/8/2006	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	11/8/2006	11/7/2008
Inactive	Transamerica Assurance Company	300893	Agent - Health	5/8/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/8/2003	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004	12/20/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2004	12/20/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/8/2003	12/20/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/8/2003	12/20/2006
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	11/2/2011
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	11/2/2011
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/11/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/10/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bernard & Assoc Ins Agency Inc	400840	Agent - Life	11/4/2003	4/1/2013
Inactive	Bernard & Assoc Ins Agency Inc	400840	Agent - Health	11/4/2003	4/1/2013
Inactive	Jalan Enterprises Inc.	400839	Agent - Property	11/4/2003	4/1/2013
Inactive	Jalan Enterprises Inc.	400839	Agent - Casualty	11/4/2003	4/1/2013
Inactive	Medlink Inc	400721	Agent - Life	9/21/2010	4/1/2013
Inactive	Medlink Inc	400721	Agent - Health	9/21/2010	4/1/2013