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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/23/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/23/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/6/2023	4/18/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	3/6/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	11/1/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/23/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/27/2024
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	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	11/29/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	9/6/2023
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
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/14/2021	3/6/2025
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
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/14/2021	3/6/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/3/2024

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