DEPARTMENT OF INSURANCE

Affiliations

Name	Fulner, Charles	DOIID	695697	NAIC NPN	12510258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/8/2013	12/31/2020
Inactive	Resident	Agent	Casualty	8/8/2013	12/31/2020
Inactive	Resident	Agent	Health	12/3/2013	12/31/2020
Inactive	Resident	Agent	Life	12/3/2013	12/31/2020
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/5/2009	7/31/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/5/2009	7/31/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	5/12/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	5/12/2017	12/23/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/16/2014	10/31/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/16/2014	10/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/25/2014	12/5/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/25/2014	12/5/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/25/2014	12/5/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/25/2014	12/5/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/25/2014	12/5/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/25/2014	12/5/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/12/2015	12/31/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	3/17/2014	11/11/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	3/17/2014	11/11/2014
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	12/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/1/2014	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/1/2014	12/7/2017
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	3/16/2015	12/31/2020
Inactive	Columbian Life Insurance Company	300810	Agent - Life	11/11/2015	3/23/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/15/2012	1/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2012	1/1/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	7/2/2014	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	7/2/2014	12/3/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/1/2014	7/2/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/1/2014	7/2/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/3/2014	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/3/2014	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/3/2014	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/3/2014	8/29/2018
Inactive	Great Western Insurance Company	501693	Agent - Life	4/5/2016	12/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/19/2015	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/19/2015	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/19/2015	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2015	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/19/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/19/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/19/2015	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/19/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/8/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/6/2010	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/6/2010	2/24/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/20/2010	4/14/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/20/2010	4/14/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/19/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/6/2017	1/22/2018
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	12/3/2015	12/31/2020
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	1/14/2020	4/23/2020
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	1/14/2020	4/23/2020
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/1/2015	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	10/1/2015	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	11/25/2015	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	11/25/2015	12/21/2016
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/21/2014	11/14/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/3/2017	1/22/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	4/20/2015	12/10/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/8/2015	4/24/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	8/14/2017	8/8/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	1/14/2016	7/13/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	1/14/2016	7/13/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/2/2014	12/31/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	7/2/2014	12/31/2020
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/13/2010	1/17/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/13/2010	1/17/2011
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/2/2014	12/31/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/2/2014	12/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/3/2014	12/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/3/2014	12/31/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/17/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/17/2019	10/1/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	7/2/2014	12/31/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	7/2/2014	12/31/2020
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/2/2014	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/2/2014	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/2/2014	12/31/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/2/2014	12/31/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/2/2014	12/20/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/2/2014	12/20/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/2/2014	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/2/2014	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/2/2014	12/31/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/2/2014	12/31/2020
Inactive	Trinity Life Insurance Company	552459	Agent - Life	11/10/2015	3/28/2017
Inactive	United American Insurance Company	300910	Agent - Life	8/4/2016	12/23/2016
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/30/2016	4/11/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/9/2017	3/22/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/9/2017	3/22/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/18/2015	3/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/18/2015	3/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	3/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	12/4/2014	12/31/2020
Inactive	Medlink Inc	400721	Agent - Life	12/4/2014	12/31/2020