DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, David	DOIID	653874	NAIC NPN	8835908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/9/2009	5/31/2012
Inactive	Non Resident	Agent	Life	7/9/2009	5/31/2012
* 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 General Life Insurance Company	301585	Agent - Health	5/18/2007	7/31/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	5/18/2007	7/31/2007
Inactive	Companion Life Insurance Company	300191	Agent - Health	12/28/2011	6/11/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/3/2009	11/30/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/3/2009	11/30/2009
Inactive	Humana Insurance Company	301104	Agent - Health	7/6/2007	5/31/2008
Inactive	Humana Insurance Company	301104	Agent - Life	7/6/2007	5/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/6/2007	5/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/6/2007	5/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/6/2007	5/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/6/2007	5/31/2008
Inactive	Time Insurance Company	300683	Agent - Health	5/2/2007	3/24/2008
Inactive	Time Insurance Company	300683	Agent - Life	5/2/2007	3/24/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	5/2/2007	5/31/2008
Inactive	HBDC II, Inc	641352	Agent - Life	5/2/2007	5/31/2008