DEPARTMENT OF INSURANCE

Affiliations

Name	Fullington Jr, Thomas Claude	DOIID	394284	NAIC NPN	7210434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Adjuster	Independent
Inactive	Resident	Agent	General Lines	11/12/1996	8/15/2000
Inactive	Resident	Agent	Health	5/5/1994	5/1/2013
Inactive	Resident	Agent	Property	8/15/2000	5/1/2013
Inactive	Resident	Agent	Casualty	8/15/2000	5/1/2013
Inactive	Resident	Agent	Life	5/5/1994	5/1/2013
* 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
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/7/2010	4/15/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/7/2010	4/15/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/12/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/12/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/12/2009	8/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/12/2009	8/20/2012
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/28/2004	5/1/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/20/2006	8/19/2010
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/20/2006	8/19/2010
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/20/2006	8/19/2010
Inactive	Grange Insurance Company	300234	Agent - Property	12/20/2006	8/19/2010
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/10/2003	8/19/2010
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/10/2003	8/19/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/12/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	12/12/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	12/12/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2012	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2012	8/20/2012
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	5/5/1994	2/2/2001
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/5/1994	2/2/2001
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/12/2009	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/12/2009	8/20/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/21/2007	5/1/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/21/2007	5/1/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/2/2009	1/3/2012
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Property	1/18/2011	6/16/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	6/16/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	6/16/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/18/2011	6/16/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/18/2011	6/16/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/18/2011	6/16/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	1/18/2011	6/16/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/18/2011	6/16/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/18/2011	6/16/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	11/30/2001
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	11/12/1996	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	11/30/2001
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	4/8/2002
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	4/8/2002
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	11/13/2009	5/30/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/24/2004	3/19/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	6/24/2004	3/19/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/31/2001	8/11/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/31/2001	8/11/2008
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/31/2001	8/11/2008
Inactive	State Farm General Insurance Company	301122	Agent - Property	10/31/2001	8/11/2008
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/4/2005	8/11/2008
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/31/2001	8/11/2008
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/4/2005	8/11/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/1/2009	8/4/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/20/2008	8/4/2010
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/20/2006	8/19/2010
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/20/2006	8/19/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/2/2009	1/3/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/2/2009	1/3/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/18/2011	6/16/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/18/2011	6/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fsb Ins Agency Inc	676948	Agent - Life	4/28/2008	5/1/2013
Inactive	Fsb Ins Agency Inc	676948	Agent - Health	4/28/2008	8/20/2012
Inactive	Fsb Ins Agency Inc	676948	Agent - Property	4/28/2008	5/1/2013
Inactive	Fsb Ins Agency Inc	676948	Agent - Casualty	4/28/2008	5/1/2013
Inactive	Kentucky Mortuary Serv Inc.	399826	Agent - Life	11/27/1995	2/14/2003
Inactive	Kentucky Mortuary Serv Inc.	399826	Agent - Health	11/27/1995	2/14/2003
Inactive	Medlink Inc	400721	Agent - Life	11/2/2009	5/1/2013
Inactive	Medlink Inc	400721	Agent - Health	11/2/2009	8/20/2012
Inactive	Mountain Valley Ins Agy Inc.	399465	Agent - Property	3/9/2007	3/31/2010
Inactive	Mountain Valley Ins Agy Inc.	399465	Agent - Casualty	3/9/2007	3/31/2010
Inactive	Multi-Service Corporation	400132	Agent - Life	11/9/2006	3/31/2010
Inactive	Multi-Service Corporation	400132	Agent - Health	11/9/2006	3/31/2010
Inactive	Multi-Service Corporation	400132	Agent - Property	11/9/2006	3/31/2010
Inactive	Multi-Service Corporation	400132	Agent - Casualty	11/9/2006	3/31/2010