DEPARTMENT OF INSURANCE

Affiliations

Name	Fulton, Teresa H	DOIID	304479	NAIC NPN	1891587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/21/1991	5/1/2023
Inactive	Resident	Agent	Health	3/21/1991	5/1/2023
* 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	Aetna Health Inc.	300694	Agent - Health	10/17/2000	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/17/2000	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/17/2000	9/22/2010
Inactive	All Savers Insurance Company	301940	Agent - Health	4/3/2012	5/1/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/9/2013	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/9/2013	10/12/2020
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	11/19/2001	5/1/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/22/2014	5/1/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/22/2014	5/1/2023
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	5/22/2003	1/9/2009
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/22/2003	1/9/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/11/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/14/2020	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/27/2012	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/19/2001	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/19/2001	6/11/2014
Inactive	Continental Casualty Company	301019	Agent - Health	2/17/2004	6/12/2006
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/19/2014	5/1/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/3/2022	5/1/2023
Inactive	DentiCare, Inc.	300655	Agent - Health	12/12/2001	11/1/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/15/2009	12/10/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/15/2009	12/10/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/27/2013	5/1/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/27/2013	5/1/2023
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	2/17/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	2/17/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/16/2004	5/30/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/16/2004	5/30/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/21/2021	5/1/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/21/2021	5/1/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/18/2018	5/1/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2000	5/1/2023
Inactive	Humana Insurance Company	301104	Agent - Life	11/16/2000	5/1/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/21/2021	5/1/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/21/2021	5/1/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/21/2021	5/1/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/21/2021	5/1/2023
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/19/2002	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/6/2017	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/6/2017	1/22/2018
Inactive	Life Insurance Company of North America	300711	Agent - Health	3/6/2013	5/1/2023
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/6/2013	5/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/5/2012	5/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/5/2012	5/1/2023
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/5/2019	5/1/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/9/2016	5/1/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/9/2016	5/1/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/31/2009	5/31/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/21/1991	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/21/1991	3/31/1999
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	1/14/2002	10/3/2007
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	1/14/2002	10/3/2007
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	10/27/2000	12/13/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	10/27/2000	12/13/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/25/2002	12/10/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/25/2002	12/10/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/12/2001	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/12/2001	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/27/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/27/2000	12/11/2002
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	2/15/2005	5/1/2023
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	2/15/2005	5/1/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	11/5/2010	5/1/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	11/5/2010	5/1/2023
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	11/5/2010	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	11/5/2010	8/22/2011
Inactive	Time Insurance Company	300683	Agent - Health	9/21/2004	12/20/2006
Inactive	Time Insurance Company	300683	Agent - Life	9/21/2004	12/20/2006
Inactive	Transamerica Assurance Company	300893	Agent - Health	8/23/2000	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	8/23/2000	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2005	7/8/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	7/8/2010
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	8/23/2000	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	8/23/2000	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/23/2000	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/23/2000	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/11/2000	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/11/2000	10/8/2021
Inactive	Union Security Insurance Company	301844	Agent - Health	5/7/2001	1/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	5/7/2001	1/9/2015
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	8/27/2001	1/4/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	8/27/2001	1/4/2013
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	6/20/2001	7/10/2006
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	6/20/2001	7/10/2006
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	6/20/2001	7/10/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/31/2009	5/31/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/31/2009	5/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/5/2007	5/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/5/2007	5/1/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/5/2000	1/17/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/5/2000	1/17/2003
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/5/2007	5/1/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/5/2007	12/1/2016
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/17/2004	6/12/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/17/2004	6/12/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	5/1/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	5/1/2023
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - Life	10/24/1991	9/11/2000
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - Health	10/24/1991	9/11/2000
Inactive	National City Insurance Group Inc.	399045	Agent - Life	3/11/2008	7/16/2010
Inactive	National City Insurance Group Inc.	399045	Agent - Health	3/11/2008	7/16/2010
Inactive	Schrecker Insurance Services, L.L.C.	503767	Agent - Life	3/10/2000	1/15/2004
Inactive	Schrecker Insurance Services, L.L.C.	503767	Agent - Health	3/10/2000	1/15/2004
Inactive	Thompson Associates Inc.	398584	Agent - Life	7/26/2000	3/31/2008
Inactive	Thompson Associates Inc.	398584	Agent - Health	7/26/2000	3/31/2008
Inactive	USI Midwest LLC	517736	Agent - Life	4/7/2010	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Health	4/7/2010	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Life	6/25/2014	1/6/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/25/2014	1/6/2022