DEPARTMENT OF INSURANCE

Affiliations

Name	Fulkerson, Alexander Lee	DOIID	1109766	NAIC NPN	18845624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/10/2020	6/30/2027
Active	Non Resident	Agent	Health	11/10/2020	6/30/2027
* 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	04/15/2025	06/30/2025	04/07/2025	04/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	7/14/2022	2/16/2023
Inactive	AAA Life Insurance Company	300287	Agent - Life	7/14/2022	2/16/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	4/7/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	1/22/2021	4/7/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/12/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/22/2021	4/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/12/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/12/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	1/22/2021	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/15/2021	12/21/2022
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	3/15/2021	4/2/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	3/15/2021	4/2/2021
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	3/15/2021
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	3/15/2021
Active	C.M. Life Insurance Company	301335	Agent - Life	11/20/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	5/25/2022	7/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/22/2021	4/7/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/23/2021	4/7/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/23/2020	8/14/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/23/2020	8/14/2023
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	5/25/2022	7/30/2024
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2022
Active	SilverScript Insurance Company	663526	Agent - Health	11/12/2020
Inactive	Vantis Life Insurance Company	572176	Agent - Life	12/31/2021	11/18/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	9/21/2021	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	9/21/2021	3/2/2023