DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Adriana	DOIID	520638	NAIC NPN	7216196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/1/2002
Inactive	Resident	Agent	Health	5/31/2001	7/1/2002
Inactive	Resident	Agent	Life	5/31/2001	7/1/2002
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/23/2001	7/1/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	3/23/2001	7/1/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/9/2001	2/4/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/9/2001	2/4/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	4/9/2001	2/4/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/26/2001	7/1/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/26/2001	7/1/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	12/14/2001	7/1/2002
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	4/9/2001	2/4/2002
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/9/2001	2/4/2002
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	4/9/2001	2/4/2002
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/29/2001	7/1/2002
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/29/2001	7/1/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/23/2001	6/17/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/23/2001	6/17/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/29/2001	7/1/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/29/2001	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/15/2001	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/15/2001	7/1/2002
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/23/2001	7/1/2002
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Variable Life and Variable Annuities	3/23/2001	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/23/2001	9/19/2001
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/23/2001	9/19/2001
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	3/23/2001	9/19/2001
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	3/23/2001	9/19/2001
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	3/23/2001	9/19/2001
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	3/23/2001	9/19/2001
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	2/26/2001	7/17/2001
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	2/21/2001	7/17/2001
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Variable Life and Variable Annuities	3/8/2001	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/15/2001	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/15/2001	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Variable Life and Variable Annuities	5/15/2001	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	7/5/2001	7/1/2002
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	7/5/2001	7/1/2002
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	7/5/2001	7/1/2002