DEPARTMENT OF INSURANCE

Affiliations

Name	Fowlkes, Eric Dean	DOIID	663652	NAIC NPN	3204058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/20/2021	5/31/2024
Inactive	Non Resident	Agent	Casualty	9/11/2007	5/31/2014
Inactive	Non Resident	Agent	Life	5/28/2009	5/31/2014
Inactive	Non Resident	Agent	Property	9/11/2007	5/31/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2023	5/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2023	5/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/12/2023	5/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/26/2009	6/21/2012
Inactive	American Continental Insurance Company	643130	Agent - Life	6/20/2011	6/28/2013
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	8/8/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/20/2009	9/3/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/20/2009	11/30/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/20/2009	11/30/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/30/2014	6/9/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2009	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2009	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/20/2009	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/20/2009	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/20/2009	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/20/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/20/2009	4/25/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/12/2023	5/31/2024
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/27/2007	12/9/2008
Inactive	Tesla Insurance Company	300337	Agent - Property	9/27/2007	12/9/2008
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	9/27/2007	12/9/2008
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	9/27/2007	12/9/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2021	8/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/15/2010	5/31/2014
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/18/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/15/2010	5/31/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/9/2014	12/15/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/18/2022	8/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	12/11/2007	12/9/2008
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	12/11/2007	12/9/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	12/12/2007	12/9/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	12/12/2007	12/9/2008