DEPARTMENT OF INSURANCE

Affiliations

Name	Fulcher, Chase	DOIID	378021	NAIC NPN	7203739

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		11/30/2024
Active	Resident	Agent	Life	4/7/1986		11/30/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		11/30/2024
Active	Resident	Agent	Health	4/7/1986		11/30/2024
Active	Resident	Agent	Casualty	8/15/2000		11/30/2024
Inactive	Resident	Agent	General Lines	4/7/1986	8/15/2000
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/24/2018	10/10/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/24/2018	10/10/2018
Active	American Fire and Casualty Company	300567	Agent - Casualty	3/12/2020
Active	American Fire and Casualty Company	300567	Agent - Property	3/12/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	3/31/2021	6/17/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/31/2021	6/17/2022
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	3/31/2021	6/17/2022
Active	American Heritage Life Insurance Company	300272	Agent - Health	11/11/2013
Active	American Heritage Life Insurance Company	300272	Agent - Life	11/11/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/20/2015	3/9/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/20/2015	3/9/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/24/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/24/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/20/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/20/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/20/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/20/2015	11/14/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/12/2021	10/19/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/7/1986	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	3/26/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	3/26/2003
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	3/6/2014	12/22/2015
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	3/6/2014	12/22/2015
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	3/29/2024
Active	Berkley Regional Insurance Company	300920	Agent - Property	3/29/2024
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	4/21/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	4/21/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/21/2019
Active	Bristol West Insurance Company	301655	Agent - Property	11/21/2019
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	3/1/2021
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	3/1/2021
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/14/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012	10/10/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/6/2012	10/10/2018
Active	Erie Family Life Insurance Company	301400	Agent - Health	3/8/2021
Active	Erie Family Life Insurance Company	301400	Agent - Life	3/8/2021
Active	Erie Insurance Company	300230	Agent - Casualty	3/8/2021
Active	Erie Insurance Company	300230	Agent - Property	3/8/2021
Active	Erie Insurance Company of New York	789916	Agent - Casualty	3/8/2021
Active	Erie Insurance Company of New York	789916	Agent - Property	3/8/2021
Active	Erie Insurance Exchange	300789	Agent - Casualty	3/8/2021
Active	Erie Insurance Exchange	300789	Agent - Property	3/8/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	3/8/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	3/8/2021
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	10/5/2018
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/7/1986	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	10/5/2018
Active	Flagship City Insurance Company	789965	Agent - Casualty	3/8/2021
Active	Flagship City Insurance Company	789965	Agent - Property	3/8/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/21/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/21/2019
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	4/21/2023
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/21/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/21/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/21/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/1/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/1/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/20/2013	11/19/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/20/2013	11/19/2016
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	10/5/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/7/1986	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	10/5/2018
Inactive	Milbank Insurance Company	925185	Agent - Casualty	7/28/2021	3/29/2023
Inactive	Milbank Insurance Company	925185	Agent - Property	7/28/2021	3/29/2023
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/25/2019	12/12/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/25/2019	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	11/25/2019	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/25/2019	12/12/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/12/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/12/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/20/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	2/20/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/8/2019
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/8/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/8/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/8/2019
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/7/1986	10/5/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/7/1986	10/5/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Variable Life and Variable Annuities	5/31/2001	5/10/2011
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/13/2021	3/29/2023
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/13/2021	3/29/2023
Active	State Life Insurance Company	301497	Agent - Health	6/21/2023
Active	State Life Insurance Company	301497	Agent - Life	6/21/2023
Active	Trexis Insurance Corporation	599902	Agent - Casualty	6/21/2023
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	6/21/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/6/1995	12/12/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/6/1995	12/12/2005
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Best Insured LLC	1211302	Agent - Life	6/16/2022
Active	Best Insured LLC	1211302	Agent - Health	6/16/2022
Active	Best Insured LLC	1211302	Agent - Property	6/16/2022
Active	Best Insured LLC	1211302	Agent - Casualty	6/16/2022
Active	Chase Fulcher, LLC	719740	Agent - Life	12/16/2009
Active	Chase Fulcher, LLC	719740	Agent - Health	12/16/2009
Active	Chase Fulcher, LLC	719740	Agent - Property	12/16/2009
Active	Chase Fulcher, LLC	719740	Agent - Casualty	12/16/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	9/24/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	9/24/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	9/24/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	9/24/2018
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007