DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Statfeld, Martin F	DOIID	334975	NAIC NPN	651802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/6/2006		10/31/2025
Active	Non Resident	Agent	Casualty	2/6/2006		10/31/2025
Active	Non Resident	Agent	Property	2/6/2006		10/31/2025
Active	Non Resident	Agent	Health	2/6/2006		10/31/2025
* 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 General Life Insurance Company of Delaware	301057	Agent - Health	2/17/2005	10/31/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	10/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/18/2006	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/18/2006	11/2/2016
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	8/3/1987	10/31/2005
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/3/1987	10/31/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/16/2015	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/16/2015	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/16/2015	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/16/2015	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/20/2006	1/3/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/20/2006	1/3/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/20/2006	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/20/2006	11/29/2016

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	8/23/2004	10/31/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/23/2004	10/31/2005
Active	Brown & Brown Metro, LLC	602694	Agent - Life	3/7/2006
Active	Brown & Brown Metro, LLC	602694	Agent - Health	3/7/2006
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	11/2/2016