DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez Bello, Myriam Adriana	DOIID	596110	NAIC NPN	8244740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	9/23/2004	9/6/2005
Active	Resident	Agent	Health	5/17/2019		9/30/2025
Active	Resident	Agent	Life	4/19/2019		9/30/2025
* 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
Active	IA American Life Insurance Company	301149	Agent - Life	10/31/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/12/2019	12/17/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/15/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/10/2019	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Provider Benefit Plans Inc.	401311	Administrator - Not Applicable	9/23/2004	9/6/2005
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	5/13/2019	6/29/2020