DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Maurice	DOIID	937440	NAIC NPN	17729509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/17/2016	1/31/2018
Inactive	Non Resident	Agent	Life	11/17/2016	1/31/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/1/2016	1/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/1/2016	1/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/1/2016	1/31/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	1/13/2017	1/31/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	1/13/2017	1/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/29/2016	1/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/29/2016	1/31/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/4/2017	2/5/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/1/2016	1/31/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/6/2016	1/31/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/21/2016	7/19/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/21/2016	7/19/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/6/2016	1/31/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/6/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/6/2016	1/31/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2016	1/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/6/2016	1/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/6/2016	1/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/6/2016	1/31/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/6/2016	1/31/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/24/2017	3/22/2018
Inactive	National Health Insurance Company	300554	Agent - Health	9/13/2017	1/31/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	4/24/2017	3/22/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/24/2017	3/22/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/24/2017	3/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/5/2016	1/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/5/2016	1/31/2018