DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IA American Life Insurance Company	301149	Agent - Life	10/31/2019	4/18/2025
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