DEPARTMENT OF INSURANCE

Affiliations

Name	Fullerton, Michele	DOIID	1061295	NAIC NPN	19031967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/16/2019	8/31/2026
Pending Replacement	Non Resident	Agent	Life	10/16/2019	8/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	8/24/2022	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	8/24/2022
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2020
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	8/24/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/30/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	9/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/6/2020	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	10/17/2022	7/7/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	10/17/2022	7/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/20/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/20/2024	12/16/2024
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	12/2/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/22/2025	10/13/2026
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/10/2021	7/15/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/10/2021	7/15/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/20/2024	12/16/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/24/2022
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/24/2022
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	11/1/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/31/2019	12/21/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/30/2021	1/30/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/24/2023	9/13/2024
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/22/2025
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	9/30/2020
Pending Replacement	Tier One Insurance Company	301056	Agent - Health	7/6/2023
Pending Replacement	Tier One Insurance Company	301056	Agent - Life	7/6/2023
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/28/2022	3/25/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/22/2025	10/13/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/22/2025	10/13/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/4/2020	12/29/2021
Pending Replacement	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Unified Growth Partners	1338837	Agent - Life	8/28/2024	7/29/2026
Inactive	Unified Growth Partners	1338837	Agent - Health	8/28/2024	7/29/2026