DEPARTMENT OF INSURANCE
Affiliations
NameFuller, Jay LoganDOIID583477NAIC NPN7983475
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities7/11/20069/19/2007 
InactiveResidentAgentLife10/26/20049/19/2007 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Life5/11/20079/10/2007
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities5/11/20079/10/2007
InactiveAugustar Life Insurance Company301816Agent - Life7/29/20058/1/2007
InactiveEverlake Life Insurance Company300873Agent - Life4/19/20058/3/2007
InactiveForesters Life Insurance and Annuity Company300882Agent - Life2/4/20043/19/2004
InactiveForesters Life Insurance and Annuity Company300882Agent - Variable Life and Variable Annuities 3/19/2004
InactiveNationwide Life Insurance Company300495Agent - Life11/22/20049/2/2007
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life11/22/20049/2/2007
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life11/17/20048/7/2007
InactivePacific Life Insurance Company301848Agent - Life9/20/20069/19/2007
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/20/20069/19/2007
InactiveWestern National Life Insurance Company300461Agent - Life11/11/20048/20/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational City Insurance Group Inc.399045Agent - Life12/21/20059/19/2007

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