DEPARTMENT OF INSURANCE

Affiliations

Name	Surrey, Martha M	DOIID	535366	NAIC NPN	7218824

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/8/2020	4/30/2026
Active	Resident	Agent	Health	10/8/2020	4/30/2026
* 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	Accendo Insurance Company	300312	Agent - Health	4/3/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	4/3/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/16/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/16/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/23/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/23/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/23/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/6/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	9/6/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/23/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/3/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	4/23/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	4/23/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/28/2023
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/28/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2022
Active	Humana Insurance Company	301104	Agent - Health	10/21/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/17/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/16/2022
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	10/9/2001	6/30/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	10/9/2001	6/30/2004
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morgan Keegan & Company Inc.	398102	Agent - Life	2/21/2003	1/8/2004
Inactive	Morgan Keegan & Company Inc.	398102	Agent - Health	2/21/2003	1/8/2004