DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Jason Patrick	DOIID	690024	NAIC NPN	11460719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	9/25/2008	5/31/2017
Inactive	Non Resident	Agent	Life	2/27/2009	5/31/2017
Inactive	Non Resident	Agent	Health	2/27/2009	5/31/2017
* 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	Merit Life Insurance Co.	300150	Agent - Health	2/27/2009	10/25/2016
Inactive	Merit Life Insurance Co.	300150	Agent - Life	2/27/2009	10/25/2016
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/25/2008	10/25/2016
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/25/2008	10/25/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	OneMain Financial Of America, Inc	821439	Agent - Limited Line Credit	3/17/2016	10/25/2016
Inactive	OneMain Financial Of America, Inc	821439	Agent - Life	2/22/2016	10/25/2016
Inactive	OneMain Financial Of America, Inc	821439	Agent - Health	2/22/2016	10/25/2016