black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHARLES PIERRE MARTIN JR

PRODUCER NON-RESIDENT

License Number:
PRN245924
Status:
First Licensure:
02/06/2015
Cancel Date:
None

Mailing:
CINCINNATI, OH 45209
Phone:
+1 (855) 371-2236
Fax:
+1 (877) 567-6038
Email:
chase.martin@anthem.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/06/2015

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
02/06/2015 LHD70566
ANTHEM LIFE INSURANCE COMPANY
02/06/2015 LHF70467 03/31/2025
STANDARD INSURANCE COMPANY
04/02/2024 LHF991

Authority

Description Issue Date Termination Date Status
HEALTH 02/06/2015 Active
LIFE 02/06/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15159219

Other Addresses

Address Type
CINCINNATI, OH 45209
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/14/2025 07:36:37 PM