DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cullen, Martin Steven	DOIID	514315	NAIC NPN	583816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	10/20/2000		11/30/2026
Active	Non Resident	Agent	Life	1/23/2002		11/30/2026
Active	Non Resident	Agent	Health	1/23/2002		11/30/2026
* 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
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/3/2008	9/1/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/3/2008	9/1/2011
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	1/23/2002	1/30/2007
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	1/23/2002	1/30/2007
Inactive	Continental American Insurance Company	301700	Agent - Health	2/8/2002	5/4/2021
Inactive	Continental American Insurance Company	301700	Agent - Life	2/8/2002	5/4/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/8/2006	4/16/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/8/2006	4/16/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Excess Risk Underwriters Inc	514314	Administrator - Not Applicable	10/20/2000
Active	Excess Risk Underwriters Inc	514314	Agent - Health	3/5/2024
Active	Excess Risk Underwriters Inc	514314	Agent - Life	3/5/2024