DEPARTMENT OF INSURANCE
Affiliations
NameFowler, Edward ToddDOIID523482NAIC NPN1829536
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/22/20018/31/2017 
InactiveNon ResidentAgentVariable Life and Variable Annuities3/22/20018/31/2017 
InactiveNon ResidentAgentHealth3/22/20018/31/2017 
* 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 - Health9/8/201112/23/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/8/201112/23/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/8/201112/23/2013
InactiveAnthem Life Insurance Company301209Agent - Health7/1/200412/28/2009
InactiveAnthem Life Insurance Company301209Agent - Life7/1/200412/28/2009
InactiveColonial Life and Accident Insurance Company300846Agent - Health4/28/20064/8/2008
InactiveColonial Life and Accident Insurance Company300846Agent - Life4/28/20064/8/2008
InactiveCompBenefits Dental, Inc.591692Agent - Health9/30/201312/5/2014
InactiveContinental General Insurance Company300691Agent - Health8/16/200412/27/2004
InactiveContinental General Insurance Company300691Agent - Life8/16/200412/27/2004
InactiveDental Concern Inc. (The)301641Agent - Health9/30/201312/5/2014
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/11/200310/17/2005
InactiveHumana Health Plan, Inc.300142Agent - Health9/30/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/30/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/30/201312/5/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life10/9/20034/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities10/9/20034/18/2012
InactiveKanawha Insurance Company300127Agent - Health9/30/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life9/30/201312/5/2014
InactiveMinnesota Life Insurance Company300488Agent - Health11/17/20039/21/2011
InactiveMinnesota Life Insurance Company300488Agent - Life1/31/20059/21/2011
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities1/31/20059/21/2011
InactivePhiladelphia American Life Insurance Company300178Agent - Health2/13/20178/31/2017
InactivePhiladelphia American Life Insurance Company300178Agent - Life2/13/20178/31/2017
InactiveTime Insurance Company300683Agent - Health10/4/200412/29/2008
InactiveTime Insurance Company300683Agent - Life10/4/200412/29/2008
InactiveUnion Central Life Insurance Company300307Agent - Health3/22/20011/19/2007
InactiveUnion Central Life Insurance Company300307Agent - Life3/22/20011/19/2007
InactiveUnion Central Life Insurance Company300307Agent - Variable Life and Variable Annuities3/22/20011/19/2007
InactiveUnion Security Insurance Company301844Agent - Life6/8/20058/31/2017
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/4/201312/1/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/4/201312/1/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/4/201312/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/4/201312/1/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/1/20048/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/1/20048/27/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/9/20046/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Life7/9/20046/21/2008
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/200812/30/2009
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/200812/30/2009

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