DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, David Carl	DOIID	354784	NAIC NPN	7193590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	12/28/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	6/20/2005	3/31/2020
* 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	American National Insurance Company	301861	Agent - Limited Line Credit	4/29/2010	1/14/2013
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	12/28/1994	4/25/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	4/26/1996	8/23/1996
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	5/25/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/18/2009	3/31/2020
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	8/23/1996	5/19/1997
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	3/6/1997	5/19/1997
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/20/2005	5/19/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	6/5/1997	12/18/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roberts Motor Sales	400020	Agent - Limited Line Credit	7/20/2005	3/31/2012
Inactive	W. S. Lester Insurance Inc.	400508	Agent - Credit Life & Health	8/1/1995	4/25/1996
Inactive	W. S. Lester Insurance Inc.	400078	Agent - Credit Life & Health	8/27/1996	5/19/1997