DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, William Wade	DOIID	1128967	NAIC NPN	18793962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/15/2022		12/31/2025
Active	Non Resident	Agent	Personal Lines	4/12/2021		12/31/2025
Active	Non Resident	Agent	Property	6/15/2022		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/24/2022
Active	Dairyland Insurance Company	301370	Agent - Property	10/24/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	4/13/2021	4/8/2022
Active	Sentry Select Insurance Company	301648	Agent - Casualty	10/24/2022
Active	Sentry Select Insurance Company	301648	Agent - Property	10/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Stevens Agency LLC	558419	Agent - Casualty	3/1/2023
Active	Parker Stevens Agency LLC	558419	Agent - Property	3/1/2023