DEPARTMENT OF INSURANCE

Affiliations

Name	Martin Jr, Thomas G	DOIID	391874	NAIC NPN	1505140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/3/1990	12/1/2000
Inactive	Resident	Agent	Life	10/3/1990	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	3/15/1994	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	Aetna Life Insurance Company	301140	Agent - Health	11/11/1993	3/31/1997
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/11/1993	3/31/1997
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Health	4/17/1991	3/31/1997
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Life	4/17/1991	3/31/1997
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/15/1994	6/2/1999
Inactive	Continental General Insurance Company	300691	Agent - Health	4/25/1991	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	4/25/1991	3/31/1997
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	3/23/1993	3/31/1997
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	3/23/1993	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/3/1995	12/1/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/3/1990	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/3/1990	3/31/1997
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	4/27/1994	3/31/1997
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/27/1994	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/13/1994	12/1/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/13/1994	12/1/2000
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/29/1994	12/31/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/29/1994	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/1992	3/10/1999
Inactive	Humana Insurance Company	301104	Agent - Life	1/29/1992	3/10/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/26/1992	12/1/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/12/1994	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/12/1994	3/31/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Health	4/18/1996	1/24/2000
Inactive	Nassau Life Insurance Company	301406	Agent - Life	4/18/1996	1/24/2000
Inactive	New Hampshire Insurance Company	301670	Agent - Health	4/17/1991	3/31/1996
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/28/1995	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/28/1995	12/1/2000
Inactive	Southeastern United Medigroup Inc.	300198	Agent - Health Maintenance Organization	3/15/1994	12/1/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/7/1996	12/1/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/7/1996	12/1/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/27/1997	12/1/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/27/1997	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	3/7/1994	12/1/2000
Inactive	Insurance One Inc.	399840	Agent - Health	3/7/1994	12/1/2000