DEPARTMENT OF INSURANCE
Affiliations
NameFuller, Roger DDOIID547686NAIC NPN5182649
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/9/20026/30/2005 
InactiveNon ResidentAgentVariable Life and Variable Annuities4/9/20026/30/2005 
InactiveNon ResidentAgentLife4/9/20026/30/2005 
* 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
InactiveBrighthouse Life Insurance Company301829Agent - Life4/30/20026/30/2005
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities4/30/20026/30/2005
InactiveDelaware Life Insurance Company301256Agent - Life5/6/20026/30/2005
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities5/6/20026/30/2005
InactiveEverlake Life Insurance Company300873Agent - Life8/1/20021/22/2004
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities8/1/20021/22/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life5/2/20027/19/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Health5/2/20026/30/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Life5/2/20026/30/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities5/2/20026/30/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health5/2/20026/30/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life5/2/20026/30/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities5/2/20026/30/2005
InactiveKeyport Life Insurance Company300319Agent - Life4/29/200212/31/2003
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities4/29/200212/31/2003
DeniedMetLife Life and Annuity Company of Connecticut301593Agent - Life  
DeniedMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities  
InactiveNationwide Life Insurance Company300495Agent - Health4/24/200212/16/2004
InactiveNationwide Life Insurance Company300495Agent - Life4/24/200212/16/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/24/200212/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/24/20026/30/2005
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/24/20026/30/2005
InactiveNorthbrook Life Insurance Company301020Agent - Life4/29/20021/1/2003
InactiveNorthbrook Life Insurance Company301020Agent - Variable Life and Variable Annuities4/29/20021/1/2003
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life6/21/20026/30/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities6/21/20026/30/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/29/20026/30/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/29/20026/30/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/29/20026/30/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/9/20026/30/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/9/20026/30/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities4/9/20026/30/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/15/20026/30/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/15/20026/30/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLPL FINANCIAL LLC399327Agent - Health3/14/20036/30/2005
InactiveLPL FINANCIAL LLC399327Agent - Life3/14/20036/30/2005
InactiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities3/14/20036/30/2005

© Commonwealth of Kentucky. All rights reserved.