DEPARTMENT OF INSURANCE
Affiliations
NameFulton II, Baylor HavelyDOIID387987NAIC NPN7208045
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities1/22/201511/1/2016 
InactiveResidentAgentHealth1/22/201511/1/2016 
InactiveResidentAgentLife1/22/201511/1/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/5/200610/28/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/5/200610/28/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/5/200610/28/2008
InactiveBankers United Life Assurance Company300296Agent - Health6/29/199311/18/1998
InactiveBankers United Life Assurance Company300296Agent - Life6/29/199311/18/1998
InactiveBrighthouse Life Insurance Company301829Agent - Health10/29/201010/31/2014
InactiveBrighthouse Life Insurance Company301829Agent - Life10/29/201010/31/2014
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities10/29/201010/31/2014
InactiveCincinnati Life Insurance Company (The)300601Agent - Life10/13/201511/1/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/2/200611/3/2008
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/2/200611/3/2008
InactiveFidelity Security Life Insurance Company300466Agent - Health6/19/19984/13/2001
InactiveFidelity Security Life Insurance Company300466Agent - Life6/19/19984/13/2001
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health7/13/200610/22/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life7/13/200610/22/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities7/13/200610/22/2010
InactiveGeneral American Life Insurance Company300280Agent - Health7/12/200612/23/2009
InactiveGeneral American Life Insurance Company300280Agent - Life7/12/200612/23/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities7/12/200612/23/2009
InactiveInvestors Heritage Life Insurance Company300363Agent - Health1/18/198210/31/2014
InactiveInvestors Heritage Life Insurance Company300363Agent - Life1/18/198210/31/2014
InactiveLincoln Benefit Life Company301110Agent - Health6/7/200610/20/2010
InactiveLincoln Benefit Life Company301110Agent - Life6/7/200610/20/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities6/7/200610/20/2010
InactiveMetLife Investors Insurance Company301872Agent - Health7/5/20065/29/2010
InactiveMetLife Investors Insurance Company301872Agent - Life7/5/20065/29/2010
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities7/5/20065/29/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/17/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/17/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/17/201011/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health3/12/200112/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life3/12/200112/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities1/20/200612/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health8/31/200610/18/2010
InactiveMetropolitan Life Insurance Company301948Agent - Life8/31/200610/18/2010
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities8/31/200610/18/2010
InactiveNew England Life Insurance Company300343Agent - Health7/12/200612/15/2009
InactiveNew England Life Insurance Company300343Agent - Life7/12/200612/15/2009
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities7/12/200612/15/2009
InactiveSecurity Life Insurance Company of America300936Agent - Health7/24/199811/5/2001
InactiveSecurity Life Insurance Company of America300936Agent - Life7/24/199811/5/2001
InactiveSouthern Financial Life Insurance Company300664Agent - Health9/12/199812/27/2011
InactiveSouthern Financial Life Insurance Company300664Agent - Life9/12/199812/27/2011
InactiveTransamerica Life Insurance Company300571Agent - Life6/6/20064/16/2010
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities6/6/20064/16/2010
InactiveTransamerica Premier Life Insurance Company300558Agent - Health11/12/19939/3/1998
InactiveTransamerica Premier Life Insurance Company300558Agent - Life11/12/19939/3/1998
InactiveZurich American Life Insurance Company300216Agent - Life6/5/20067/13/2011
InactiveZurich American Life Insurance Company300216Agent - Variable Life and Variable Annuities6/5/20067/13/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMillennium Brokerage Group LLC (The)513268Agent - Life10/13/201511/1/2016
InactiveOsaic Institutions, Inc.724602Agent - Life10/21/201010/31/2014
InactiveOsaic Institutions, Inc.724602Agent - Health10/21/201010/31/2014
InactiveOsaic Institutions, Inc.724602Agent - Variable Life and Variable Annuities10/21/201010/31/2014
InactiveTower Square Securities, Inc.400222Agent - Life12/20/20042/6/2007
InactiveTower Square Securities, Inc.400222Agent - Health12/20/20042/6/2007
InactiveUvest Financial Serv Group Inc.400567Agent - Life6/2/20061/20/2012
InactiveUvest Financial Serv Group Inc.400567Agent - Health6/2/20061/20/2012
InactiveUvest Financial Serv Group Inc.400567Agent - Variable Life and Variable Annuities6/2/20061/20/2012

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