DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Robert Anthony	DOIID	386438	NAIC NPN	7207422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/23/2015		7/31/2024
Active	Resident	Agent	Health	10/23/2015		7/31/2024
Inactive	Resident	Agent	Credit Life & Health	5/25/1989	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2008
Active	Resident	Independent Adjuster	Property & Casualty	2/26/2021		7/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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
Independent Adjuster	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/23/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/18/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/18/2016
Inactive	Columbian Life Insurance Company	300810	Agent - Life	1/7/2019	6/26/2024
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/11/2014	10/5/2015
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/11/2014	10/5/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/15/2019	1/3/2022
Inactive	Great Western Insurance Company	501693	Agent - Life	4/15/2019	12/28/2020
Inactive	Independent Order of Foresters	300743	Agent - Life	7/3/2018	12/24/2019
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/25/1989	3/31/1997
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	2/1/2019	3/25/2020
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	2/1/2019	3/25/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/2/2019	8/1/2020
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	5/25/2012	10/5/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	5/25/2012	10/5/2015
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/1/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	7/31/2008
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/16/2018
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/16/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/2/1995	9/23/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/6/2018	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/6/2018	10/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/22/2019	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/22/2019	8/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle Bank	398746	Agent - Credit Life & Health	11/10/1994	8/7/2000
Inactive	Eagle Bank	398746	Agent - Limited Line Credit	8/7/2000	2/1/2008
Inactive	TLC Ins Group Inc	742140	Agent - Life	6/13/2012	10/5/2015
Inactive	TLC Ins Group Inc	742140	Agent - Health	6/13/2012	10/5/2015