DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pottinger, Phillip Wilton	DOIID	573272	NAIC NPN	3750193

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/11/2003	9/30/2006
Inactive	Non Resident	Agent	Health	8/11/2003	9/30/2006
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	8/28/2003	9/30/2006
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/28/2003	9/30/2006
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	9/21/2004	12/21/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	9/21/2004	12/21/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/25/2004	9/30/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/25/2004	9/30/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/26/2003	9/30/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/26/2003	9/30/2006
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	8/26/2003	9/30/2006
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	8/26/2003	9/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	9/15/2003	9/30/2006
Inactive	The Farmington Company	534046	Agent - Life	9/15/2003	9/30/2006