DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martens, Gregory J	DOIID	762435	NAIC NPN	16177404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/1/2011		6/30/2026
Active	Non Resident	Agent	Health	9/1/2011		6/30/2026
* 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
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/10/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/10/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/13/2013	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/13/2013	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	2/13/2013	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/13/2013	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/13/2013	4/14/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/7/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/7/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/7/2012	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer (US) LLC	595151	Agent - Life	3/12/2019	6/20/2022
Inactive	Willis Of Illinois Inc	398318	Agent - Health	3/14/2012	12/1/2016
Inactive	Willis Of Illinois Inc	398318	Agent - Life	3/14/2012	12/1/2016