DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Eijah	DOIID	1219581	NAIC NPN	20067793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/8/2024	9/30/2024
Active	Non Resident	Agent	Health	7/28/2022	9/30/2024
Active	Non Resident	Agent	Life	7/28/2022	9/30/2024
Active	Non Resident	Agent	Casualty	3/8/2024	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/1/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/1/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/1/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2023	12/27/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/30/2023	12/27/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/30/2023	12/27/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/28/2022	1/4/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/30/2023	12/27/2023
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	3/10/2024
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Property	3/10/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	12/26/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/1/2022
Active	USAA Casualty Insurance Company	300995	Agent - Casualty	3/10/2024
Active	USAA Casualty Insurance Company	300995	Agent - Property	3/10/2024
Active	USAA General Indemnity Company	300131	Agent - Casualty	3/10/2024
Active	USAA General Indemnity Company	300131	Agent - Property	3/10/2024
Active	United Services Automobile Association	300158	Agent - Casualty	3/10/2024
Active	United Services Automobile Association	300158	Agent - Property	3/10/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/28/2022	1/4/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/28/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/28/2022	1/4/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/11/2022	6/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024