DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gowens, Martha Jean	DOIID	342654	NAIC NPN	829135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/5/1991	7/1/2002
Inactive	Resident	Agent	Life	7/5/1991	7/1/2002
* 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	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/26/1994	12/30/1998
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/26/1994	12/30/1998
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	7/5/1991	4/17/2001
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	7/5/1991	4/17/2001
Inactive	United American Insurance Company	300910	Agent - Health	12/20/1991	7/1/2002
Inactive	United American Insurance Company	300910	Agent - Life	12/20/1991	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Southern Brokers Inc.	399821	Agent - Life	8/12/1991	7/1/2002
Inactive	Southern Brokers Inc.	399821	Agent - Health	8/12/1991	7/1/2002