DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Bradley D	DOIID	583978	NAIC NPN	1461503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	2/5/2004	8/31/2025
Active	Non Resident	Agent	Life	2/5/2004	8/31/2025
Active	Non Resident	Agent	Health	12/28/2004	8/31/2025
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/15/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/15/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/15/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/9/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017
Active	Bankers Life and Casualty Company	300701	Agent - Health	1/3/2005
Active	Bankers Life and Casualty Company	300701	Agent - Life	11/4/2004
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/25/2022
Active	Colonial Penn Life Insurance Company	300491	Agent - Health	8/9/2005
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	8/9/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/17/2011	12/4/2012
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/7/2008	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/30/2021	12/13/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/4/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/24/2008	7/15/2022
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	6/23/2006	8/1/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	6/23/2006	8/1/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/23/2006	8/1/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/12/2019	12/19/2019
Active	Humana Insurance Company	301104	Agent - Health	10/8/2009
Active	Humana Insurance Company	301104	Agent - Life	10/8/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/24/2010	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/15/2011	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	2/10/2007	8/4/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	2/10/2007	8/4/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/10/2004	12/15/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	2/10/2004	12/15/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/10/2004	12/15/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	2/10/2004	12/15/2004
Active	SilverScript Insurance Company	663526	Agent - Health	10/15/2023
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	2/15/2006	3/3/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	2/15/2006	3/3/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	2/15/2006	3/3/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	2/15/2006	3/3/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/3/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/3/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/3/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/3/2021
Active	Washington National Insurance Company	300587	Agent - Health	4/28/2022
Active	Washington National Insurance Company	300587	Agent - Life	4/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Uvest Financial Serv Group Inc.	400567	Agent - Life	6/15/2006	1/22/2008
Inactive	Uvest Financial Serv Group Inc.	400567	Agent - Variable Life and Variable Annuities	6/23/2006	8/1/2011
Inactive	Uvest Financial Serv Group Inc.	400567	Agent - Health	6/15/2006	1/22/2008