DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Jeffrey Scott	DOIID	701699	NAIC NPN	13389050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	3/31/2009	4/30/2027
Active	Resident	Agent	Casualty	10/8/2009	4/30/2027
Active	Resident	Agent	Property	10/8/2009	4/30/2027
Active	Resident	Agent	Life	3/31/2009	4/30/2027
* 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	02/15/2025	04/30/2025	02/25/2025	02/25/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	8/18/2010
Active	American Economy Insurance Company	300315	Agent - Property	8/18/2010
Active	American Family Home Insurance Company	301817	Agent - Casualty	9/20/2023
Active	American Family Home Insurance Company	301817	Agent - Property	9/20/2023
Active	American Fire and Casualty Company	300567	Agent - Casualty	8/18/2010
Active	American Fire and Casualty Company	300567	Agent - Property	8/18/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/20/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/20/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/18/2010	7/18/2024
Inactive	American States Insurance Company	301230	Agent - Property	8/18/2010	7/18/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/20/2017	6/3/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/20/2017	6/3/2020
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	3/16/2010
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	3/16/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/12/2020	1/28/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/12/2020	1/28/2022
Active	Banner Life Insurance Company	301696	Agent - Life	1/10/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/4/2009	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/4/2009	9/16/2013
Active	Branch Insurance Exchange	1143306	Agent - Casualty	4/7/2025
Active	Branch Insurance Exchange	1143306	Agent - Property	4/7/2025
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	12/19/2014	12/19/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/18/2014	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/18/2014	12/7/2017
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	1/16/2015	12/10/2019
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	4/27/2011	9/25/2013
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	4/27/2011	9/25/2013
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	4/27/2011	9/25/2013
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	4/27/2011	9/25/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	4/27/2011	9/25/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Property	4/27/2011	9/25/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/4/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/4/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/11/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/11/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/11/2009	8/20/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/18/2010	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/18/2010	10/13/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2009	8/20/2012
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/30/2013	1/22/2021
Active	Erie Family Life Insurance Company	301400	Agent - Health	4/5/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	4/5/2022
Active	Erie Insurance Company	300230	Agent - Casualty	4/5/2022
Active	Erie Insurance Company	300230	Agent - Property	4/5/2022
Active	Erie Insurance Company of New York	789916	Agent - Casualty	4/5/2022
Active	Erie Insurance Company of New York	789916	Agent - Property	4/5/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	4/5/2022
Active	Erie Insurance Exchange	300789	Agent - Property	4/5/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	4/5/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	4/5/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/2/2014	3/6/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/2/2014	3/6/2018
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/9/2012	7/26/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/18/2010	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	8/18/2010	10/13/2022
Active	Flagship City Insurance Company	789965	Agent - Casualty	4/5/2022
Active	Flagship City Insurance Company	789965	Agent - Property	4/5/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/12/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/12/2021
Active	General Insurance Company of America	300261	Agent - Casualty	8/18/2010
Active	General Insurance Company of America	300261	Agent - Property	8/18/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/23/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/23/2009	12/7/2012
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/8/2014
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/8/2014
Active	Grange Insurance Company	300234	Agent - Casualty	10/8/2014
Active	Grange Insurance Company	300234	Agent - Property	10/8/2014
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/8/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/8/2014	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/8/2014
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/8/2014
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	11/4/2009	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/4/2009	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/4/2009	10/5/2021
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	10/29/2009	1/22/2018
Inactive	Hallmark National Insurance Company	300494	Agent - Property	10/29/2009	1/22/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/21/2011	12/10/2020
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/21/2011	12/10/2020
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/29/2012	12/17/2019
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/29/2012	12/17/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2009	8/20/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/18/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/18/2010	2/3/2023
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/16/2009	5/27/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/16/2009	5/27/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/11/2009	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/11/2009	8/20/2012
Active	Kansas City Life Insurance Company	301444	Agent - Life	10/1/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	10/8/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	10/8/2018
Active	Kentucky National Insurance Company	301625	Agent - Casualty	5/9/2016
Active	Kentucky National Insurance Company	301625	Agent - Property	5/9/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/16/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/16/2022
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	1/10/2024
Inactive	Medico Insurance Company	301559	Agent - Health	1/15/2010	9/19/2014
Inactive	Medico Insurance Company	301559	Agent - Life	1/15/2010	9/19/2014
Active	Meridian Security Insurance Company	300423	Agent - Casualty	10/29/2009
Active	Meridian Security Insurance Company	300423	Agent - Property	10/29/2009
Active	Minnesota Life Insurance Company	300488	Agent - Health	8/23/2017
Active	Minnesota Life Insurance Company	300488	Agent - Life	8/23/2017
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/15/2019	7/15/2022
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/15/2019	7/15/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	4/1/2013	7/15/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	4/1/2013	7/15/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/17/2009	12/17/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/18/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/18/2010	4/26/2024
Active	North American Company for Life and Health Insurance	300291	Agent - Life	4/2/2017
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/18/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/18/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/18/2010
Active	Ohio Security Insurance Company	300622	Agent - Property	8/18/2010
Active	Pacific Life Insurance Company	301848	Agent - Health	9/20/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	9/20/2023
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/18/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	8/18/2010
Active	Peerless Insurance Company	301910	Agent - Casualty	8/18/2010
Active	Peerless Insurance Company	301910	Agent - Property	8/18/2010
Active	Principal National Life Insurance Company	301926	Agent - Life	8/25/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/2/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/2/2020
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/13/2012	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/13/2012	11/23/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/28/2009	8/7/2013
Active	Pruco Life Insurance Company	300954	Agent - Life	8/21/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/18/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/18/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/18/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/18/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/26/2009	12/12/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/26/2009	12/12/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/12/2020	1/28/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/12/2020	1/28/2022
Active	Standard Insurance Company	300185	Agent - Health	7/27/2023
Active	Standard Insurance Company	300185	Agent - Life	7/27/2023
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/29/2009
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/29/2009
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/29/2009
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	10/29/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/12/2020	1/28/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/12/2020	1/28/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/12/2020	1/28/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/12/2020	1/28/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/8/2014
Active	Trustgard Insurance Company	300104	Agent - Property	10/8/2014
Active	United Financial Casualty Company	301886	Agent - Casualty	4/2/2020
Active	United Financial Casualty Company	301886	Agent - Property	4/2/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/16/2009	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/16/2009	12/17/2012
Active	West American Insurance Company	301112	Agent - Casualty	12/7/2011
Active	West American Insurance Company	301112	Agent - Property	12/7/2011
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/11/2011	8/4/2023
Inactive	West Bend Insurance Company	672974	Agent - Property	3/11/2011	8/4/2023
Inactive	West Coast Life Insurance Company	301607	Agent - Health	11/12/2009	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	11/12/2009	11/16/2011
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	3/31/2009	11/10/2009
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	3/31/2009	11/10/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	3/31/2009	11/10/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/31/2009	11/10/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Insurance, LLC	846509	Agent - Health	7/15/2015	2/6/2023
Inactive	Cornerstone Insurance, LLC	846509	Agent - Life	7/15/2015	2/6/2023
Inactive	Cornerstone Insurance, LLC	846509	Agent - Property	7/15/2015	2/6/2023
Inactive	Cornerstone Insurance, LLC	846509	Agent - Casualty	7/15/2015	2/6/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/10/2025
Inactive	Lillie Insurance, LLC	901628	Agent - Health	2/26/2016	3/2/2020
Inactive	Lillie Insurance, LLC	901628	Agent - Life	2/26/2016	3/2/2020
Inactive	Lillie Insurance, LLC	901628	Agent - Property	2/26/2016	3/2/2020
Inactive	Lillie Insurance, LLC	901628	Agent - Casualty	2/26/2016	3/2/2020
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Health	6/24/2011	11/5/2012
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Life	6/24/2011	11/5/2012
Inactive	Medlink Inc	400721	Agent - Health	10/15/2009	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	10/15/2009	3/31/2024
Active	The Martin Group LLC dba Wethington Ins	1117252	Agent - Health	1/19/2021
Active	The Martin Group LLC dba Wethington Ins	1117252	Agent - Life	1/19/2021
Active	The Martin Group LLC dba Wethington Ins	1117252	Agent - Property	1/19/2021
Active	The Martin Group LLC dba Wethington Ins	1117252	Agent - Casualty	1/19/2021
Inactive	Wethington Insurance Agency Inc.	398855	Agent - Health	10/19/2009	3/31/2011
Inactive	Wethington Insurance Agency Inc.	398855	Agent - Life	10/19/2009	3/31/2011
Inactive	Wethington Insurance Agency Inc.	398855	Agent - Property	10/29/2009	3/31/2011
Inactive	Wethington Insurance Agency Inc.	398855	Agent - Casualty	10/29/2009	3/31/2011
Active	Wethington Senior Benefits, LLC	792534	Agent - Health	4/4/2019
Active	Wethington Senior Benefits, LLC	792534	Agent - Life	4/4/2019
Active	Wethington Senior Benefits, LLC	792534	Agent - Property	4/4/2019
Active	Wethington Senior Benefits, LLC	792534	Agent - Casualty	4/4/2019
Inactive	Wethington-Crawford Insurance LLC	743283	Agent - Health	12/10/2010	3/31/2014
Inactive	Wethington-Crawford Insurance LLC	743283	Agent - Life	12/10/2010	3/31/2014
Inactive	Wethington-Crawford Insurance LLC	743283	Agent - Property	12/10/2010	3/31/2014
Inactive	Wethington-Crawford Insurance LLC	743283	Agent - Casualty	12/10/2010	3/31/2014