DEPARTMENT OF INSURANCE

Name	Martin, David Todd	DOIID	505333	NAIC NPN	7211924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	2/10/2005		12/31/2026
Active	Resident	Agent	Casualty	2/10/2005		12/31/2026
Active	Resident	Agent	Health	9/11/2012		12/31/2026
Active	Resident	Agent	Life	6/26/2012		12/31/2026
Inactive	Resident	Agent	General Lines	7/19/2000	8/15/2000
Inactive	Resident	Agent	Vehicle Physical Damage	7/19/2000	8/28/2004
Active	Resident	Life & Health Consultant	Not Applicable	9/12/2023		12/31/2026
Inactive	Resident	Surplus Lines Broker	Not Applicable	6/2/2014	12/31/2016

*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	10/15/2024	12/31/2024	07/17/2024	07/17/2024	Yes
Life & Health Consultant	10/15/2024	12/31/2024	07/17/2024	07/17/2024	Yes

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
Residence	Not Public Information
Business / Home Office	1105 W 5th St London, KY 407411610

Phone Information

Type	Phone
Business / Home Office	(606) 330-0405