DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, William	DOIID	692661	NAIC NPN	12146738

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/7/2008	5/1/2011
Inactive	Resident	Agent	Health	11/7/2008	5/1/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/8/2011	5/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/8/2011	5/1/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/7/2008	1/26/2009
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/7/2008	1/26/2009
Inactive	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	2/6/2009	12/16/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	11/26/2008	1/26/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	11/26/2008	1/26/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Life	5/4/2009	1/4/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/1/2008	2/18/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/1/2008	2/18/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/14/2010	5/19/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/14/2010	5/19/2011
Inactive	Independent Order of Foresters	300743	Agent - Life	2/28/2011	5/1/2011
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	6/10/2009	3/18/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	6/10/2009	3/18/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	12/30/2009	5/9/2011
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	12/30/2009	5/9/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/22/2011	2/8/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	12/30/2009	5/9/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	12/30/2009	5/9/2011
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/1/2009	11/17/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/1/2009	11/17/2009
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	12/30/2009	5/9/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	12/30/2009	5/9/2011
Inactive	Southland National Insurance Corporation	517954	Agent - Health	4/21/2009	4/7/2010
Inactive	Southland National Insurance Corporation	517954	Agent - Life	4/21/2009	4/7/2010
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	3/29/2011	5/1/2011
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	3/29/2011	5/1/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/17/2010	5/1/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/17/2010	5/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/8/2011	5/1/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/8/2011	5/1/2011