DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Robert Boyd	DOIID	377127	NAIC NPN	5940123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/8/2011		3/31/2027
Active	Resident	Agent	Life	6/8/2011		3/31/2027
Active	Resident	Agent	Casualty	6/8/2011		3/31/2027
Active	Resident	Agent	Property	6/8/2011		3/31/2027
Inactive	Resident	Agent	General Lines	12/28/1987	8/15/2000
* 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
Active	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/30/2011
Inactive	ACE American Insurance Company	300625	Agent - General Lines	7/8/1991	9/10/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	7/8/1991	9/10/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Acadia Insurance Company	557871	Agent - Casualty	8/24/2004	3/31/2011
Inactive	Acadia Insurance Company	557871	Agent - Property	8/24/2004	3/31/2011
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/15/2010	3/31/2011
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/15/2010	3/31/2011
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	7/31/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Health	9/27/2001	10/7/2003
Inactive	American Reliable Insurance Company	301889	Agent - Property	7/31/2006	12/12/2007
Inactive	American Select Insurance Company	301229	Agent - Casualty	6/20/2003	7/28/2009
Inactive	American Select Insurance Company	301229	Agent - Property	6/20/2003	7/28/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	9/15/2010	3/31/2011
Inactive	American States Insurance Company	301230	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	9/15/2010	3/31/2011
Inactive	American States Life Insurance Company	301884	Agent - Health	1/4/1990	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	1/4/1990	12/6/2004
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/7/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/7/2004
Inactive	Assurance Company of America	300432	Agent - General Lines	12/14/1993	3/31/1996
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	6/8/2011	5/31/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	6/8/2011	5/31/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/18/2002	10/20/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/18/2002	10/20/2003
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	10/20/1994	9/10/1996
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/15/2013	5/27/2024
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	7/13/1988	3/31/1998
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	6/18/2014
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/26/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/16/2013	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/16/2013	12/20/2024
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	9/26/2014
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	3/26/1993	3/31/1998
Inactive	Century Indemnity Company	301310	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/18/2002	10/20/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/18/2002	10/20/2003
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/21/2015
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/21/2015
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/25/2001	7/22/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/25/2001	7/22/2004
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	4/18/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/15/2010	3/31/2011
Inactive	Continental Casualty Company	301019	Agent - Health	1/31/2000	11/29/2004
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	6/16/2003	3/31/2011
Inactive	Continental Western Insurance Company	300576	Agent - Property	6/16/2003	3/31/2011
Active	EMC National Life Company	300388	Agent - Health	1/18/2012
Active	EMC National Life Company	300388	Agent - Life	1/18/2012
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	1/19/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - General Lines	2/24/1998	8/15/2000
Active	Employers Mutual Casualty Company	300202	Agent - Property	1/19/2012
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/29/2003	3/31/2011
Active	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/30/2011
Active	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/30/2011
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	9/10/2008	3/31/2011
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	9/10/2008	3/31/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/15/2010	3/31/2011
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	9/15/2010	3/31/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/16/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/16/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/15/2010	3/31/2011
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	9/15/2010	3/31/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/28/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Property	7/28/2011
Active	Grange Insurance Company	300234	Agent - Casualty	7/28/2011
Active	Grange Insurance Company	300234	Agent - Property	7/28/2011
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/28/2011	12/22/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/28/2011	12/22/2016
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/28/2011
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/28/2011
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/19/2012	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	9/30/1988	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/19/2012	12/15/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/18/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	9/15/2010	3/31/2011
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	12/28/1987	5/13/1996
Inactive	Insurance Company of North America	300226	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Kentucky Association of Counties - All Lines Fund	300006	Agent - General Lines	11/12/1998	3/30/2000
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/13/2006	9/12/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/13/2006	9/12/2007
Inactive	MICO Insurance Company	301664	Agent - Casualty	6/30/2003	3/31/2011
Inactive	MICO Insurance Company	301664	Agent - Property	6/30/2003	3/31/2011
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	1/21/2020
Active	Madison National Life Insurance Company Inc.	301458	Agent - Life	1/21/2020
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/14/1993	3/31/1996
Active	Milbank Insurance Company	925185	Agent - Casualty	11/25/2021
Active	Milbank Insurance Company	925185	Agent - Property	11/25/2021
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	11/1/2012
Active	Motorists Mutual Insurance Company	300963	Agent - Property	11/1/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	4/18/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/15/2010	3/31/2011
Active	NorthStone Insurance Company	818905	Agent - Casualty	6/18/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/15/2010	3/31/2011
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	6/20/2003	7/28/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	6/20/2003	7/28/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/15/2010	3/31/2011
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/3/2021	12/10/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/15/2010	3/31/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/15/2010	3/31/2011
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/18/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	9/15/2010	3/31/2011
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	7/13/1988	3/31/1998
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	6/18/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/14/1988	12/10/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/14/1988	12/10/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/8/2019	12/21/2022
Active	RLI Insurance Company	301217	Agent - Casualty	2/12/2015
Active	RLI Insurance Company	301217	Agent - Property	2/12/2015
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/11/1999	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/11/1999	9/3/2004
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	9/28/1989	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Inactive	Reliable Life Insurance Company (The)	301716	Agent - Health	11/1/1996	2/12/2001
Inactive	Reliable Life Insurance Company (The)	301716	Agent - Life	11/1/1996	2/12/2001
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/1/2006	3/31/2011
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/1/2006	3/31/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/5/2019	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/5/2019	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/5/2019	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/5/2019	4/15/2022
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/15/1995	3/31/1996
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/18/2002	10/20/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/18/2002	10/20/2003
Active	SummitPoint Insurance Company	819084	Agent - Casualty	6/18/2014
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/12/2016	10/1/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/12/2016	10/1/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/18/2002	10/20/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/18/2002	10/20/2003
Inactive	Titan Indemnity Company	300556	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Titan Indemnity Company	300556	Agent - General Lines	6/30/1997	8/15/2000
Inactive	Titan Indemnity Company	300556	Agent - Property	8/15/2000	3/31/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/4/2015	5/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/4/2015	5/17/2023
Inactive	TravCo Insurance Company	301828	Agent - Casualty	2/18/2002	10/20/2003
Inactive	TravCo Insurance Company	301828	Agent - Property	2/18/2002	10/20/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	10/20/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	10/20/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/18/2002	10/20/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	10/20/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	10/20/2003
Active	Trustgard Insurance Company	300104	Agent - Casualty	7/28/2011
Active	Trustgard Insurance Company	300104	Agent - Property	7/28/2011
Inactive	Union Insurance Company	547433	Agent - Casualty	6/16/2003	3/31/2011
Inactive	Union Insurance Company	547433	Agent - Property	6/16/2003	3/31/2011
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/3/2003	3/31/2011
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/3/2003	3/31/2011
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	10/3/2003	3/31/2011
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	10/3/2003	3/31/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	9/15/2010	3/31/2011
Inactive	West American Insurance Company	301112	Agent - Property	9/15/2010	3/31/2011
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/15/2011	3/31/2011
Inactive	West Bend Insurance Company	672974	Agent - Property	3/15/2011	3/31/2011
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	4/18/2012
Active	Westfield Insurance Company	301950	Agent - Property	4/18/2012
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	6/20/2003	7/28/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	6/20/2003	7/28/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Life	4/4/2012
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Health	4/4/2012
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	4/4/2012
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	4/4/2012
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - General Lines	1/15/1990	8/15/2000
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Life	1/15/1990	7/2/2003
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Health	1/15/1990	7/2/2003
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Property	8/15/2000	7/2/2003
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Casualty	8/15/2000	7/2/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/10/2025
Inactive	Education Risk Solutions LLC	804299	Agent - Life	6/17/2015	3/31/2021
Inactive	Education Risk Solutions LLC	804299	Agent - Health	6/17/2015	3/31/2021
Inactive	Education Risk Solutions LLC	804299	Agent - Property	8/25/2021	3/31/2023
Inactive	Education Risk Solutions LLC	804299	Agent - Casualty	8/25/2021	3/31/2023
Active	Wealth Preservation & Management Inc	562345	Agent - Life	4/21/2015
Active	Wealth Preservation & Management Inc	562345	Agent - Health	4/21/2015