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.

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
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/3/2021	12/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/3/2021	12/15/2023

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