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DEPARTMENT OF INSURANCE
Affiliations
Name
Fuller, William S
DOIID
391656
NAIC NPN
7209512
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
7/2/2008
7/31/2025
Active
Resident
Agent
Life
11/10/2003
7/31/2025
Active
Resident
Agent
Health
11/10/2003
7/31/2025
* 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
05/15/2025
07/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Allianz Life Insurance Company of North America
301791
Agent - Health
1/22/2009
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
1/22/2009
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
1/22/2009
Active
American General Life Insurance Company
301585
Agent - Health
1/13/2025
Active
American General Life Insurance Company
301585
Agent - Life
1/13/2025
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
1/13/2025
Inactive
American United Life Insurance Company
300498
Agent - Health
11/20/2008
8/21/2023
Inactive
American United Life Insurance Company
300498
Agent - Life
11/20/2008
8/21/2023
Inactive
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
11/20/2008
8/21/2023
Active
Banner Life Insurance Company
301696
Agent - Life
9/18/2018
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
3/10/2020
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
5/21/2022
3/22/2023
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/21/2022
3/22/2023
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
12/24/2019
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
12/24/2019
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
10/24/2013
6/23/2022
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
7/3/2024
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
7/3/2024
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/11/2008
10/25/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/11/2008
10/25/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
8/1/2008
10/25/2021
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
6/11/2008
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
6/11/2008
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
6/3/2008
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
6/3/2008
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
9/10/2008
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/4/2008
4/28/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/4/2008
4/28/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
12/31/2020
12/12/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/31/2020
12/12/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
12/31/2020
12/12/2022
Active
Pacific Life Insurance Company
301848
Agent - Life
9/28/2012
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
9/28/2012
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
2/9/1998
12/1/2000
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/11/2009
10/26/2010
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/11/2009
10/26/2010
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
6/11/2009
10/26/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
6/1/2009
12/23/2014
Active
Pruco Life Insurance Company
300954
Agent - Life
4/28/2022
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
4/28/2022
Inactive
Prudential Insurance Company of America
300784
Agent - Health
6/1/2009
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
6/1/2009
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
6/1/2009
12/23/2014
Active
State Life Insurance Company
301497
Agent - Health
2/5/2023
Active
State Life Insurance Company
301497
Agent - Life
2/5/2023
Inactive
TIAA-CREF Life Insurance Company
556577
Agent - Health
10/14/2003
5/16/2008
Inactive
TIAA-CREF Life Insurance Company
556577
Agent - Life
10/14/2003
5/16/2008
Inactive
TIAA-CREF Life Insurance Company
556577
Agent - Variable Life and Variable Annuities
12/2/2003
5/16/2008
Active
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/5/2008
Active
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/5/2008
Active
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
9/5/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
9/5/2008
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
9/5/2008
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
9/5/2008
11/16/2011
Inactive
Teachers Insurance and Annuity Association of America
301596
Agent - Health
1/7/2004
5/16/2008
Inactive
Teachers Insurance and Annuity Association of America
301596
Agent - Life
1/7/2004
5/16/2008
Inactive
Teachers Insurance and Annuity Association of America
301596
Agent - Variable Life and Variable Annuities
1/7/2004
5/16/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/11/2009
1/3/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/11/2009
1/3/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
11/11/2009
1/3/2012
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
12/27/2019
12/22/2020
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
12/27/2019
12/22/2020
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
12/27/2019
12/22/2020
Inactive
West Coast Life Insurance Company
301607
Agent - Life
4/4/2011
11/16/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Baird Insurance Services Inc
399048
Agent - Life
11/5/2019
Active
Baird Insurance Services Inc
399048
Agent - Health
11/5/2019
Active
Baird Insurance Services Inc
399048
Agent - Variable Life and Variable Annuities
11/5/2019
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Life
6/17/2011
3/31/2020
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Health
6/17/2011
3/31/2020
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Variable Life and Variable Annuities
6/17/2011
3/31/2020
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