DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Mark Edward	DOIID	546939	NAIC NPN	7224812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	4/16/2002	8/7/2003
Inactive	Resident	Agent	Life	10/28/2002	8/7/2003
Inactive	Resident	Agent	Casualty	4/19/2002	8/7/2003
Inactive	Resident	Agent	Health	10/28/2002	8/7/2003
* 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	American Heritage Life Insurance Company	300272	Agent - Health	5/28/2003	8/7/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/28/2003	8/7/2003
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/26/2002	7/15/2003
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	4/19/2002	7/3/2003
Inactive	FB Insurance Company (The)	301763	Agent - Property	4/16/2002	7/3/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/27/2002	8/7/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/27/2002	8/7/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/27/2002	8/7/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/27/2002	8/7/2003
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/19/2002	7/3/2003
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/16/2002	7/3/2003
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/2/2002	7/3/2003
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/2/2002	7/3/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/13/2002	7/3/2003
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/13/2002	7/3/2003
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/2/2002	7/3/2003
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/2/2002	7/3/2003