DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fullmer, Evens	DOIID	1167059	NAIC NPN	20098799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2021	4/30/2024
Inactive	Non Resident	Agent	Life	10/18/2021	4/30/2024
* 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	Golden Rule Insurance Company	301943	Agent - Health	10/28/2021	4/1/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/28/2021	4/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021	4/1/2022
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021	4/1/2022