DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	AIM Admiral, LLC	DOIID	656074	NAIC NPN	9254893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/24/2007	3/31/2011
Inactive	Non Resident	Agent	Life	5/24/2007	3/31/2011
* 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	Puritan Life Insurance Company of America	301892	Agent - Health	6/7/2007	12/23/2009
Inactive	Puritan Life Insurance Company of America	301892	Agent - Life	6/7/2007	12/23/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wallace, James W	505411	Agent - Health	1/15/2009	3/31/2011
Inactive	Wallace, James W	505411	Agent - Life	1/15/2009	3/31/2011
Inactive	White, Michael Anthony	343005	Agent - Health	5/24/2007	1/15/2009
Inactive	White, Michael Anthony	343005	Agent - Life	5/24/2007	1/15/2009