DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Camacho Martinez, Roberto	DOIID	850263	NAIC NPN	8868649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/2/2014	1/31/2023
Active	Non Resident	Independent Adjuster	Property & Casualty	3/10/2024		1/31/2027
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/10/2024		1/31/2027
* 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
Independent Adjuster	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2017	5/4/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/4/2014	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	5/4/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/4/2014	5/4/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/6/2014	5/4/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/22/2018	5/4/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2014	5/4/2022
Inactive	Humana Insurance Company	301104	Agent - Health	9/4/2014	5/4/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/4/2014	5/4/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/6/2014	5/4/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	5/4/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/4/2014	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	5/4/2022