DEPARTMENT OF INSURANCE

Affiliations

Name	Poulter, Max	DOIID	322429	NAIC NPN	1444680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/22/1968	8/15/2000
Inactive	Resident	Agent	Health	12/20/1967	7/1/2002
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	1/30/1985	7/14/1997
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Life	12/20/1967	7/1/2002
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/16/1996	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/1996	7/1/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	2/6/1996	2/21/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/15/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/15/1994	3/31/1997
Inactive	Continental Casualty Company	301019	Agent - Health	9/8/1993	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - General Lines	3/8/1995	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	3/8/1995	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	7/1/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/26/1982	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/26/1982	3/31/1997
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	6/10/1981	3/30/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/30/1985	7/14/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/7/1999	7/1/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/7/1999	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/6/2001	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/6/2001	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/10/1993	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	7/21/1995	3/20/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	7/21/1995	3/20/1997
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	6/12/2002
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	6/12/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	6/12/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	6/12/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	6/12/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	6/12/2002
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	12/19/1990	3/31/1998
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	5/22/1968	3/30/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/8/1995	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	3/8/1995	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	7/1/2002
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	3/8/1995	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	7/1/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	2/6/1996	2/21/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/20/1967	3/30/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/20/1967	3/30/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/2002