DEPARTMENT OF INSURANCE

Affiliations

Name	Hileman, Martin Todd	DOIID	566617	NAIC NPN	7540125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/31/2020	12/31/2021
Inactive	Non Resident	Agent	Life	1/31/2020	12/31/2021
* 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 Health Inc. (PA)	660717	Agent - Health	2/18/2008	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/7/2008	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/7/2008	12/31/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/26/2008	2/24/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/26/2008	2/24/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/14/2013	12/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/14/2013	12/31/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/20/2009	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/20/2009	12/22/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/18/2008	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/18/2008	11/22/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/18/2008	11/22/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	7/2/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	7/2/2009	6/11/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/25/2008	10/21/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/25/2008	10/21/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	4/25/2008	7/22/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	4/25/2008	7/22/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	4/25/2008	12/31/2017
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	4/25/2008	12/31/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/8/2013	12/31/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/8/2013	12/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/20/2009	12/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/20/2009	12/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/30/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2017	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	6/30/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/13/2007	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/30/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/13/2007	12/8/2015
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/30/2008	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/30/2008	12/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	10/22/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	7/2/2009	12/31/2017
Inactive	Life Insurance Company of North America	300711	Agent - Life	7/2/2009	12/31/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/14/2008	12/17/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/14/2008	12/17/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/15/2013	1/28/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	5/15/2013	1/28/2018
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/24/2009	11/4/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/24/2009	7/17/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	4/16/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	4/16/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/16/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/16/2009	8/22/2011
Inactive	Time Insurance Company	300683	Agent - Health	1/7/2009	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/7/2009	12/14/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	10/7/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/29/2011	1/28/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/29/2011	1/28/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/28/2011	9/25/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/21/2008	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/21/2008	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/28/2011	12/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	6/25/2013	2/23/2015
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	6/25/2013	2/23/2015
Inactive	CFC Benefits Group LLC	679196	Agent - Health	6/19/2008	3/31/2014
Inactive	CFC Benefits Group LLC	679196	Agent - Life	6/19/2008	3/31/2014
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/20/2010	7/21/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/14/2013	12/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/14/2013	12/31/2017