DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Eric Marvel	DOIID	635091	NAIC NPN	8660388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/13/2024	9/30/2025
Active	Non Resident	Agent	Casualty	3/13/2024	9/30/2025
* 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
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	3/18/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	3/18/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/19/2023	12/7/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/19/2023	12/7/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/14/2023	12/7/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/14/2023	12/7/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/14/2023	12/7/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/14/2023	12/7/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	3/18/2024
Active	Homesite Insurance Company	301139	Agent - Property	3/18/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	3/18/2024
Active	Midvale Indemnity Company	300292	Agent - Property	3/18/2024
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	7/20/2006	10/31/2006
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	7/20/2006	10/31/2006
Inactive	Nationwide General Insurance Company	300603	Agent - Property	7/20/2006	10/31/2006
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/20/2006	10/31/2006
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/20/2006	10/31/2006
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/20/2006	10/31/2006
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/20/2006	10/31/2006
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/20/2006	10/31/2006
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/20/2006	10/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023	12/7/2023
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023	12/7/2023