DEPARTMENT OF INSURANCE

Affiliations

Name	Upchurch, Martin Lee	DOIID	348095	NAIC NPN	1891916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/5/1979		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		4/30/2026
Active	Resident	Agent	Health	11/5/1979		4/30/2026
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Inactive	Resident	Agent	General Lines	7/3/1986	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	8/20/1993	3/1/2001
* 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	7/28/1988	3/31/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	1/11/1994	9/3/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	1/11/1994	9/3/1998
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Active	American Family Home Insurance Company	301817	Agent - Casualty	5/5/2021
Active	American Family Home Insurance Company	301817	Agent - Property	5/5/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/1/2005	5/10/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/1/2005	5/10/2016
Active	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011
Active	American Fire and Casualty Company	300567	Agent - Property	12/7/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/25/1998	5/15/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/25/1998	5/15/2000
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/10/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/10/2022
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	4/23/2007
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	10/2/1995	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	4/23/2007
Active	Anthem Life Insurance Company	301209	Agent - Health	1/16/2001
Active	Anthem Life Insurance Company	301209	Agent - Life	1/16/2001
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/8/2019	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/8/2019	12/20/2024
Inactive	C.M. Life Insurance Company	301335	Agent - Health	2/11/1997	6/19/2019
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/11/1997	6/19/2019
Inactive	CHA HMO, Inc.	300662	Agent - Health	5/17/2002	12/10/2012
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/5/1995	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/5/1995	3/9/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/6/2001	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/6/2001	10/13/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/30/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/30/2005	8/20/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	5/27/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	5/27/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/30/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/30/2004
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	5/27/2022
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	5/27/2022
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	11/22/1988	12/30/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/27/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/27/2005	12/13/2012
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	1/3/2001	11/22/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	1/3/2001	11/22/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	1/3/2001	11/22/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	1/3/2001	11/22/2021
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/14/1992	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/14/1992	9/30/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	1/3/2001	11/22/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	1/3/2001	11/22/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/20/1993	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/1996	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/7/1996	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2007	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/12/2007	8/20/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/6/2001	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/6/2001	2/3/2023
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	8/3/1990	8/5/1996
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/15/1994	8/15/2000
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/20/2012
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	12/14/2017
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	7/14/2003	5/3/2013
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	5/1/2019
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	5/1/2019
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	4/30/2014
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/3/1986	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	4/30/2014
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	9/27/1983	8/17/2010
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	9/27/1983	8/17/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/5/1979	6/19/2019
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/18/2025
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	5/31/2001	6/19/2019
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	8/5/1998	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	3/10/2004
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	3/12/1996	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	3/10/2004
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/14/1997	5/12/2003
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	4/16/1987	6/16/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/6/2001	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/6/2001	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007
Active	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011
Active	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	8/6/2001
Active	Peerless Insurance Company	301910	Agent - Property	8/6/2001
Inactive	Primerica Life Insurance Company	300970	Agent - Health	3/8/2001	2/10/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/18/1987	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/18/1987	11/30/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/15/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/15/1996	1/3/2003
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	5/27/2022
Active	Standard Insurance Company	300185	Agent - Health	2/4/2025
Active	Standard Insurance Company	300185	Agent - Life	2/4/2025
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	Time Insurance Company	300683	Agent - Health	7/29/1987	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	7/29/1987	3/31/1997
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/20/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/2/2004	10/4/2007
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	7/28/1988	3/31/2000
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	7/28/1988	3/31/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/18/2008	12/12/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/18/2008	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/18/2008	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	6/2/1998	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/18/2008	12/12/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/11/1981	3/31/1997
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	12/11/1981	3/31/1997
Active	West American Insurance Company	301112	Agent - Casualty	12/7/2011
Active	West American Insurance Company	301112	Agent - Property	12/7/2011
Inactive	Western Surety Company	300283	Agent - General Lines	9/28/1987	5/11/1998
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	4/15/1996	12/31/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	4/15/1996	12/31/2000

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	8/30/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	6/23/2008
Active	B Morris Insurance Inc.	399796	Agent - Life	6/12/2019
Active	B Morris Insurance Inc.	399796	Agent - Health	6/12/2019
Active	B Morris Insurance Inc.	399796	Agent - Property	6/12/2019
Active	B Morris Insurance Inc.	399796	Agent - Casualty	6/12/2019
Active	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	Insurance Associates Inc.	398312	Agent - Life	6/6/2019
Active	Insurance Associates Inc.	398312	Agent - Health	6/6/2019
Active	Insurance Associates Inc.	398312	Agent - Property	3/14/2002
Active	Insurance Associates Inc.	398312	Agent - Casualty	3/14/2002
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	Medlink Inc	400721	Agent - Life	6/17/2008	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	6/17/2008	3/31/2024
Inactive	Upchurch Insurance And Financial Services Inc.	400991	Agent - General Lines	6/26/1992	8/15/2000
Active	Upchurch Insurance And Financial Services Inc.	400991	Agent - Life	3/21/2006
Active	Upchurch Insurance And Financial Services Inc.	400991	Agent - Property	8/15/2000
Active	Upchurch Insurance And Financial Services Inc.	400991	Agent - Casualty	8/15/2000