DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Jayson Rene	DOIID	781810	NAIC NPN	13377427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/25/2014		4/30/2027
Active	Non Resident	Agent	Health	6/25/2014		4/30/2027
Active	Non Resident	Agent	Personal Lines	5/15/2012		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017
Active	CHA HMO, Inc.	300662	Agent - Health	12/20/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/1/2014	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	7/1/2014
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/1/2014
Active	Humana Insurance Company	301104	Agent - Health	7/1/2014
Active	Humana Insurance Company	301104	Agent - Life	7/1/2014
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	7/1/2014
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	7/1/2014
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/1/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/1/2014	11/3/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	6/8/2012	4/2/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	8/2/2012	4/28/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015
Active	Humana MarketPOINT Inc.	398092	Agent - Life	4/6/2015
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	6/11/2012	3/20/2014