DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mireles, Martha Raquel	DOIID	820204	NAIC NPN	16711834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/10/2013	6/19/2017
Inactive	Non Resident	Agent	Health	9/10/2013	6/19/2017
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	1/31/2014	12/5/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	10/18/2015	8/5/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/18/2015	8/5/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/10/2015	12/15/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/31/2014	12/5/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	9/26/2013	5/19/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	9/26/2013	5/19/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/19/2015	5/17/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/31/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/31/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/31/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/31/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/31/2014	12/5/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/2/2015	6/19/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/2/2015	6/19/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/2/2015	6/19/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/2/2015	6/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle Health Advisors LLC	787496	Agent - Health	12/9/2015	6/19/2017
Inactive	Eagle Health Advisors LLC	787496	Agent - Life	12/9/2015	6/19/2017