DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Michele Elaine	DOIID	761481	NAIC NPN	5312412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2011		9/30/2026
Active	Non Resident	Agent	Life	8/21/2011		9/30/2026
* 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	07/15/2024	09/30/2024	07/16/2024	07/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/26/2011
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	1/13/2019
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	1/13/2019