DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Leticia Maria	DOIID	760978	NAIC NPN	15728370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/15/2011	7/10/2014
Inactive	Non Resident	Agent	Life	8/15/2011	7/10/2014
* 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	12/14/2011	7/10/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/14/2011	7/10/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/5/2011	7/10/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/5/2011	7/10/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/27/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/27/2011	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/23/2012	4/22/2013
Inactive	Oxford Life Insurance Company	301079	Agent - Life	2/1/2012	3/24/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Health	2/10/2012	2/25/2014
Inactive	Security Life Insurance Company of America	300936	Agent - Life	2/10/2012	2/25/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/2/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/2/2011	12/26/2012

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	12/14/2011	7/10/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/14/2011	7/10/2014