DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fulks, Hristina	DOIID	1373720	NAIC NPN	21251988

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/22/2024		4/30/2027
Active	Non Resident	Agent	Casualty	11/22/2024		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/9/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/9/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	11/22/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	11/22/2024
Active	Homesite Insurance Company	301139	Agent - Casualty	12/9/2024
Active	Homesite Insurance Company	301139	Agent - Property	12/9/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/9/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/9/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	12/9/2024
Active	Midvale Indemnity Company	300292	Agent - Property	12/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	1/10/2025
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	1/10/2025