DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin Jr, Charles Pierre	DOIID	716729	NAIC NPN	15159219

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/17/2025		5/31/2027
Active	Resident	Agent	Health	6/17/2025		5/31/2027
* 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	03/15/2025	05/31/2025	06/03/2025	06/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/17/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/17/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/1/2021	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/1/2021	3/31/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/17/2025
Inactive	Standard Insurance Company	300185	Agent - Health	4/2/2024	6/1/2025
Inactive	Standard Insurance Company	300185	Agent - Life	4/2/2024	6/1/2025
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/4/2016	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/4/2016	12/27/2018

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 - Life	12/17/2013	6/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/17/2013	6/1/2019