DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Phillip Russell	DOIID	632460	NAIC NPN	8778389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/23/2006	12/7/2009
Inactive	Non Resident	Agent	Health	5/23/2006	12/7/2009
* 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	8/15/2006	5/26/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/15/2006	5/26/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/25/2006	12/7/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	2/15/2007	12/7/2009
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	2/15/2007	5/26/2008