DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Suzanne M	DOIID	653153	NAIC NPN	689528

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/9/2007	1/19/2017
Inactive	Non Resident	Agent	Casualty	4/9/2007	1/19/2017
Inactive	Non Resident	Agent	Health	4/9/2007	1/19/2017
Inactive	Non Resident	Agent	Property	4/9/2007	1/19/2017
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/24/2007	1/19/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	7/24/2007	1/19/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/8/2007	1/19/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/8/2007	1/19/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/8/2007	1/19/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/8/2007	1/19/2017
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	2/10/2015	1/19/2017
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	2/10/2015	1/19/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/7/2007	1/19/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/7/2007	1/19/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	9/22/2007	3/16/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	9/22/2007	3/16/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	3/13/2012	1/19/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/8/2007	1/19/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/8/2007	1/19/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/14/2008	1/19/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/14/2008	1/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/3/2015	1/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/3/2015	1/19/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/3/2015	1/19/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/3/2015	1/19/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/3/2015	1/19/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/3/2015	1/19/2017
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	2/10/2015	1/19/2017
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	2/10/2015	1/19/2017
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	2/10/2015	1/19/2017
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	2/10/2015	1/19/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/8/2007	1/19/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/8/2007	1/19/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/14/2008	1/19/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	1/14/2008	1/19/2017
Inactive	Markel American Insurance Company	300377	Agent - Casualty	2/22/2011	4/5/2017
Inactive	Markel American Insurance Company	300377	Agent - Property	2/22/2011	4/5/2017
Inactive	Markel Insurance Company	301475	Agent - Casualty	2/22/2011	4/5/2017
Inactive	Markel Insurance Company	301475	Agent - Health	2/22/2011	4/5/2017
Inactive	Markel Insurance Company	301475	Agent - Property	2/22/2011	4/5/2017
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	2/10/2015	1/19/2017
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	2/10/2015	1/19/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/14/2008	1/19/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/14/2008	1/19/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007	1/19/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007	1/19/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/7/2007	1/19/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/7/2007	1/19/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/8/2007	1/19/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/8/2007	1/19/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/14/2008	1/19/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/14/2008	1/19/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/14/2008	1/19/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	1/14/2008	1/19/2017
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	1/12/2015	3/8/2016
Inactive	Rural Community Insurance Company	301891	Agent - Property	1/12/2015	3/8/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	11/7/2007	1/19/2017
Inactive	West American Insurance Company	301112	Agent - Property	11/7/2007	1/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	3/16/2015	1/19/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	3/16/2015	1/19/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	3/16/2015	1/19/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	12/7/2009	3/16/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	2/22/2011	1/7/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	8/6/2007	1/7/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	8/6/2007	1/7/2015