DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Glenn Elbert	DOIID	354550	NAIC NPN	939546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/11/1969	12/1/2000
Inactive	Resident	Agent	General Lines	6/11/1969	8/15/2000
Inactive	Resident	Agent	Health	6/11/1969	12/1/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/29/1995	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/29/1995	12/1/2000
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/11/1969	8/15/2000
Inactive	American States Insurance Company	301230	Agent - General Lines	6/11/1969	8/15/2000
Inactive	American States Life Insurance Company	301884	Agent - Health	6/11/1969	12/1/2000
Inactive	American States Life Insurance Company	301884	Agent - Life	6/11/1969	12/1/2000
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	4/7/1981	8/15/2000
Inactive	Celtic Insurance Company	300877	Agent - Health	6/22/1993	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	6/22/1993	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Health	3/31/1991	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	3/31/1991	12/11/1996
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	5/19/1992	3/31/1997
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	5/19/1992	3/31/1997
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/22/1969	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	11/30/1977	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/22/1969	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/8/1986	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/25/1989	8/15/2000
Inactive	Life Insurance Company of North America	300711	Agent - Health	6/4/1991	6/16/1997
Inactive	Life Insurance Company of North America	300711	Agent - Life	6/4/1991	6/16/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	3/31/1993	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	3/31/1993	12/1/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	6/1/1990	3/31/1998
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/1/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/1/2000
Inactive	Time Insurance Company	300683	Agent - Health	3/16/1994	4/28/1997
Inactive	Time Insurance Company	300683	Agent - Life	3/16/1994	4/28/1997
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/23/1971	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shively Insurance Agency, Inc	398215	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Shively Insurance Agency, Inc	398215	Agent - Life	8/4/1982	12/1/2000
Inactive	Shively Insurance Agency, Inc	398215	Agent - Health	8/4/1982	12/1/2000