DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Darrell Demone	DOIID	366878	NAIC NPN	7198861

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/19/2024		10/31/2026
Active	Resident	Agent	Life	8/19/2024		10/31/2026
Inactive	Resident	Agent	Prepaid Dental Plan	3/30/1992	3/1/2001
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	12/13/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	11/1/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/13/2007	11/1/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/13/2007	11/1/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/8/2012	10/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/8/2012	10/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	10/31/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	10/31/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	9/25/2009	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	9/25/2009	12/31/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/15/2005	6/24/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/15/2005	6/24/2008
Inactive	American United Life Insurance Company	300498	Agent - Health	11/10/2004	10/31/2007
Inactive	American United Life Insurance Company	300498	Agent - Life	11/10/2004	10/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/5/2013	10/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/5/2013	10/31/2016
Active	Banner Life Insurance Company	301696	Agent - Life	11/26/2025
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	12/2/2004	4/13/2006
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/2/2004	4/13/2006
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/29/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/29/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/2/2009	10/31/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/2/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/2/2009	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	7/1/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	3/30/1992	3/1/2001
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/17/2008	11/1/2008
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/17/2008	11/1/2008
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	3/20/2008	11/1/2008
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	3/20/2008	11/1/2008
Inactive	Dental Care Plus Inc.	301495	Agent - Health	5/27/2008	11/1/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/2/2009	10/31/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/4/2008	11/1/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/4/2008	11/1/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/8/2005	11/1/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/8/2005	11/1/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/2/2009	10/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/2/2009	10/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/2/2009	10/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/22/2011	10/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/24/2010	10/31/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/2/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/2/2009	5/13/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/2/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/2/2006	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/2/2009	10/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/2/2009	10/31/2016
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/21/2013	10/29/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	6/12/2009	10/31/2016
Inactive	Life Insurance Company of North America	300711	Agent - Life	6/12/2009	10/31/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/22/2009	11/16/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/22/2009	11/16/2016
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/15/2009	10/31/2016
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	6/15/2009	10/31/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/9/2009	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/9/2009	12/14/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	6/30/2011	10/31/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/30/2011	10/31/2016
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/27/2003	7/1/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/27/2003	7/1/2004
Inactive	Security Life Insurance Company of America	300936	Agent - Health	8/3/2001	3/11/2003
Inactive	Security Life Insurance Company of America	300936	Agent - Life	8/3/2001	3/11/2003
Inactive	Standard Insurance Company	300185	Agent - Health	12/1/2007	11/1/2008
Inactive	Standard Insurance Company	300185	Agent - Life	12/1/2007	11/1/2008
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/23/2009	11/23/2010
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/23/2009	11/23/2010
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/22/2009	11/23/2010
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/22/2009	11/23/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/4/2009	11/27/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/4/2009	11/27/2012
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/25/2005	12/22/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/25/2005	12/22/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	6/21/2002	7/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	6/21/2002	7/1/2004
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	11/15/2001	7/1/2004
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	11/15/2001	7/1/2004
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	11/15/2001	7/1/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2009	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/23/2009	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/23/2009	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/23/2009	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	9/26/2011	7/23/2012
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	9/26/2011	7/23/2012
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/22/2009	10/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/5/2013	10/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/5/2013	10/31/2016
Inactive	G H Brown & Co	400662	Agent - Life	2/19/2003	12/30/2003
Inactive	G H Brown & Co	400662	Agent - Health	2/19/2003	12/30/2003
Inactive	Garrett-Stotz Co	400616	Agent - Life	9/25/2013	10/14/2014
Inactive	Garrett-Stotz Co	400616	Agent - Health	9/25/2013	10/14/2014
Inactive	Iserve Advisors, LLC	657312	Agent - Life	6/22/2009	3/31/2013
Inactive	Iserve Advisors, LLC	657312	Agent - Health	6/22/2009	3/31/2013
Inactive	J.J.B. Hilliard, W.L. Lyons, LLC	679616	Agent - Life	1/26/2015	2/4/2016
Inactive	J.J.B. Hilliard, W.L. Lyons, LLC	679616	Agent - Health	1/26/2015	2/4/2016
Inactive	Neace Lukens, Inc.	398909	Agent - Life	6/22/2009	8/19/2012
Inactive	Neace Lukens, Inc.	398909	Agent - Health	6/22/2009	8/19/2012
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	7/1/2004
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	7/1/2004
Inactive	Thompson Associates Inc.	398584	Agent - Life	11/10/2004	3/22/2006
Inactive	Thompson Associates Inc.	398584	Agent - Health	11/10/2004	3/22/2006