DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Veronica Lynn	DOIID	349320	NAIC NPN	1458983

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	2/22/2011	7/31/2015
Inactive	Non Resident	Agent	Health Maintenance Organization	12/5/1995	4/16/1997
Inactive	Non Resident	Agent	Health	5/22/2001	4/1/2013
Inactive	Non Resident	Agent	Life	5/22/2001	4/1/2013
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	8/21/2001	7/17/2003
Inactive	CIGNA HealthCare of Kentucky, Inc.	300548	Agent - Health Maintenance Organization	12/5/1995	4/16/1997
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/22/2001	7/17/2003
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/22/2001	7/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Behavioral Health, Inc.	576042	Administrator - Not Applicable	2/22/2011	7/11/2013