DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fowler-Charlton, Dallas Michelle	DOIID	1064517	NAIC NPN	19341186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/11/2024		5/31/2026
Active	Resident	Agent	Health	10/11/2024		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	7/9/2021	10/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	7/9/2021	10/14/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/17/2021	6/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/17/2021	6/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/17/2021	6/1/2024
Active	Banner Life Insurance Company	301696	Agent - Life	12/20/2024
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/29/2021	6/1/2024
Inactive	Country Investors Life Assurance Company	301973	Agent - Life	6/8/2020	12/31/2020
Inactive	Country Life Insurance Company	300595	Agent - Life	6/8/2020	12/31/2020
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	6/9/2021	6/1/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/9/2020	10/18/2022
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/27/2022	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/27/2022	11/23/2023
Active	Symetra Life Insurance Company	301691	Agent - Health	10/16/2024
Active	Symetra Life Insurance Company	301691	Agent - Life	10/16/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/28/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stephens Agency LLC	955222	Agent - Life	3/9/2020	6/1/2024