DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Michele Elaine	DOIID	761481	NAIC NPN	5312412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2011		9/30/2026
Active	Non Resident	Agent	Life	8/21/2011		9/30/2026
* 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
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/26/2011
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	1/13/2019
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	1/13/2019