DEPARTMENT OF INSURANCE

Name	Martin Jr, Glenn Elbert	DOIID	393436	NAIC NPN	7105949

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		11/30/2024
Active	Resident	Agent	Property	8/15/2000		11/30/2024
Active	Resident	Agent	Life	6/8/1977		11/30/2024
Active	Resident	Agent	Health	6/8/1977		11/30/2024
Inactive	Resident	Agent	General Lines	6/27/1977	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	10/13/1997	3/1/2001

*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
Agent	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Acrisure, Llc. 10226 Shelbyville RdLouisville, KY 402232978
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jmartin@gemins.net

Phone Information

Type	Phone
Business / Home Office	(502) 245-8870