DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Martin	DOIID	973745	NAIC NPN	18564228

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/23/2017	10/18/2021
Inactive	Non Resident	Agent	Limited Line Credit	8/11/2020	10/19/2021
Inactive	Non Resident	Agent	Health	10/23/2017	10/19/2021
* 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	American Health and Life Insurance Company	300844	Agent - Health	8/11/2020	8/25/2020
Inactive	American Health and Life Insurance Company	300844	Agent - Life	8/11/2020	8/25/2020
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	8/11/2020	8/25/2020
Inactive	American Republic Insurance Company	300861	Agent - Health	8/18/2021	10/18/2021
Inactive	American Republic Insurance Company	300861	Agent - Life	8/18/2021	10/18/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2021	10/19/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/11/2018	10/19/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/7/2021	9/9/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	10/19/2021
Inactive	Elixir Insurance Company	696846	Agent - Health	8/14/2018	9/18/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/9/2021	9/9/2021
Inactive	National Health Insurance Company	300554	Agent - Health	12/29/2017	12/28/2020
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	8/11/2020	8/25/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/18/2018	1/4/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/24/2020	10/19/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/24/2020	10/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/17/2018	10/19/2021
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	8/11/2020	8/25/2020
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	8/12/2020	8/26/2020
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/11/2020	8/25/2020