DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, David Parmalee	DOIID	360782	NAIC NPN	7196196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/21/2002		7/31/2026
Active	Resident	Agent	Life	8/21/2002		7/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	8/21/2002		7/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	9/5/1996	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/16/2024	05/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/13/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/13/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/13/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	8/23/2002
Active	Anthem Life Insurance Company	301209	Agent - Life	4/19/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/13/2013	5/15/2015
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/13/2013	5/15/2015
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/4/2002	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	9/5/1996	3/1/2001
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/26/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/5/2014
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	12/10/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/25/2007	12/5/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/17/2012	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/17/2012	1/5/2015
Active	Gerber Life Insurance Company	300529	Agent - Health	6/15/2021
Active	Gerber Life Insurance Company	300529	Agent - Life	6/15/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/12/2002	7/21/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/27/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/12/2002	7/21/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/12/2002	7/21/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/17/2007	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/17/2007	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/17/2007	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/17/2007	2/24/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/28/2003	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/28/2003	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Midland National Life Insurance Company	300923	Agent - Health	8/26/2002	7/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/26/2002	7/20/2004
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	8/23/2002
Inactive	Mutual of Omaha Medicare Advantage Company	979434	Agent - Health	10/15/2018	4/28/2021
Active	Omaha Health Insurance Company	301296	Agent - Health	10/1/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	3/27/2012	8/8/2018
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/25/2004	8/19/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	8/25/2004	8/19/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	10/27/2005	3/8/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	10/27/2005	3/8/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/28/2002	4/6/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/28/2002	4/6/2005
Active	Pruco Life Insurance Company	300954	Agent - Life	12/15/2023
Inactive	SILAC Insurance Company	300535	Agent - Health	1/10/2018	11/10/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	1/10/2018	11/10/2020
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/11/2003	8/15/2004
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/11/2003	8/15/2004
Active	SilverScript Insurance Company	663526	Agent - Health	11/16/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/29/2005	7/31/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	3/29/2005	7/31/2009
Active	United World Life Insurance Company	300532	Agent - Health	3/20/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/23/2002
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/23/2002
Active	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	8/23/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/1998	7/1/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/31/1998	7/1/2002
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	7/1/2002
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	8/31/1998	3/1/2001

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	8/17/1999	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/17/1999	7/1/2002
Active	Dental Choice Agency Inc.	398085	Agent - Health	12/22/2004
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
Inactive	Insurance One Inc.	399840	Agent - Life	10/20/1992	7/1/2002
Inactive	Insurance One Inc.	399840	Agent - Health	10/20/1992	7/1/2002
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Life	6/10/2002	7/1/2002
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Health	6/10/2002	7/1/2002
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014