DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Martha Luella	DOIID	629743	NAIC NPN	8595817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/7/2006	5/31/2013
Inactive	Non Resident	Agent	Life	4/7/2006	5/31/2013
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/17/2006	6/20/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/17/2006	6/20/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/20/2006	5/31/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/25/2006	5/23/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/25/2006	5/23/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/25/2006	5/23/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/25/2006	5/23/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Telespectrum Inc	604670	Agent - Life	3/8/2007	3/31/2009
Inactive	Telespectrum Inc	604670	Agent - Health	3/8/2007	3/31/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	3/30/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	3/30/2009