DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Qualls Fullerton, Tredeah	DOIID	1298525	NAIC NPN	20836003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/14/2023		6/30/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/6/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/14/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/14/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/14/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/14/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/6/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gohealth LLC	691445	Agent - Health	5/24/2024
Inactive	Trubridge Inc	717747	Agent - Health	3/11/2024	5/2/2024