DEPARTMENT OF INSURANCE

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/01/2024	04/01/2024	Yes

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) Inc	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