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DEPARTMENT OF INSURANCE
Affiliations
Name
Fulkerson, William D
DOIID
312868
NAIC NPN
747196
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
10/2/2013
1/31/2016
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
10/1/2012
Inactive
Non Resident
Agent
Life
10/2/2013
1/31/2016
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
5/21/1997
9/8/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
5/21/1997
9/8/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
5/31/2001
9/8/2011
Inactive
American General Life Insurance Company
301585
Agent - Health
10/2/2013
5/2/2014
Inactive
American General Life Insurance Company
301585
Agent - Life
10/2/2013
5/2/2014
Inactive
American Income Life Insurance Company
300256
Agent - Health
4/6/2006
5/18/2007
Inactive
American Income Life Insurance Company
300256
Agent - Life
4/6/2006
5/18/2007
Inactive
American United Life Insurance Company
300498
Agent - Life
12/1/2003
1/11/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Life
5/21/1997
11/5/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
11/27/2002
11/5/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
3/22/2005
2/7/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
3/22/2005
2/7/2006
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
11/26/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
11/26/2001
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/29/2001
11/8/2001
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
5/31/2001
1/21/2005
Inactive
First Colony Life Insurance Company
301179
Agent - Life
7/16/1997
7/19/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/19/2002
11/22/2010
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/19/2002
11/22/2010
Inactive
Gerber Life Insurance Company
300529
Agent - Health
3/17/2014
8/18/2015
Inactive
Gerber Life Insurance Company
300529
Agent - Life
3/17/2014
8/18/2015
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
6/18/1993
6/9/2006
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
6/18/1993
6/9/2006
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
11/21/2001
6/9/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
6/9/1997
2/1/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
6/9/1997
2/1/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/14/2003
12/17/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/14/2003
12/17/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/14/2003
12/17/2005
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
9/30/1999
11/9/2001
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
8/17/1993
3/31/1997
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
8/17/1993
3/31/1997
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/13/2001
12/16/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/13/2001
12/16/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/13/2001
12/16/2004
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
12/17/2001
6/6/2006
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
12/17/2001
6/6/2006
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
5/26/1999
3/31/2003
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/14/2001
4/30/2003
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/14/2001
4/30/2003
Inactive
Sage Life Assurance of America Inc.
301274
Agent - Health
8/17/1993
3/31/1997
Inactive
Sage Life Assurance of America Inc.
301274
Agent - Life
8/17/1993
3/31/1997
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
9/5/1997
6/9/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
6/9/1997
12/20/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/9/1997
12/20/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
4/30/2001
12/20/2001
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/9/1997
12/20/2001
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/9/1997
12/20/2001
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
4/30/2001
12/20/2001
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Health
3/20/1997
10/30/2001
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Life
3/20/1997
10/30/2001
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Variable Life and Variable Annuities
2/22/2001
10/30/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
11/26/2001
11/3/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
11/26/2001
11/3/2007
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/11/2003
1/23/2006
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
1/16/2002
7/29/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Variable Life and Variable Annuities
1/16/2002
7/29/2005
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Life
7/5/2001
4/16/2003
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Health
7/5/2001
4/16/2003
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Variable Life and Variable Annuities
7/5/2001
4/16/2003
Inactive
Wedgewood Partners Inc.
398330
Agent - Life
7/8/1993
5/31/2003
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