DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Martha	DOIID	930506	NAIC NPN	6574993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/15/2018	2/28/2022
Inactive	Non Resident	Agent	Health	8/15/2018	2/28/2022
* 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	Combined Insurance Company of America	301472	Agent - Health	6/21/2017	2/28/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	9/6/2018	3/30/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	9/6/2018	3/30/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/20/2017	2/28/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/20/2017	2/28/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/2017	2/28/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/20/2017	2/28/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/20/2017	2/28/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/18/2018	2/28/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/18/2018	2/28/2022
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/22/2016	10/11/2016
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/18/2018	2/28/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/18/2018	2/28/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/18/2018	2/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/22/2016	10/11/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/22/2016	10/11/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/22/2016	10/11/2016
Inactive	Unum Insurance Company	301499	Agent - Health	10/18/2018	2/28/2022
Inactive	Unum Insurance Company	301499	Agent - Life	10/18/2018	2/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	2/1/2019	2/28/2022
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	2/1/2019	2/28/2022