DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Nicole Annemarie	DOIID	636870	NAIC NPN	8285181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/28/2006	7/31/2009
Inactive	Non Resident	Agent	Casualty	7/28/2006	7/31/2009
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/13/2006	8/8/2008
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/13/2006	8/8/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	11/15/2006	8/18/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	11/15/2006	8/18/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/30/2007	8/6/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/30/2007	8/6/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	10/13/2006	7/26/2008
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	10/13/2006	7/26/2008