DEPARTMENT OF INSURANCE
Affiliations
NameFuller, Bart DOIID747930NAIC NPN7470542
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/11/201110/31/2013 
InactiveNon ResidentAgentLife2/11/201110/31/2013 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/14/201110/31/2013 
* 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
InactiveEquitable Financial Life Insurance Company300808Agent - Life2/16/201112/23/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/16/201112/23/2011
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life5/16/201110/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities5/16/201110/4/2012
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life5/16/20117/13/2012
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities5/16/20117/13/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/24/20114/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/24/20114/2/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/12/20117/13/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/12/20117/13/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/12/20117/13/2012
InactiveMetLife Investors Insurance Company301872Agent - Life5/27/20117/17/2012
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/27/20117/17/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life5/27/20117/17/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities5/27/20117/17/2012
InactiveNationwide Life Insurance Company300495Agent - Health5/27/20118/16/2012
InactiveNationwide Life Insurance Company300495Agent - Life5/27/20118/16/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/27/20118/16/2012
InactiveProtective Life Insurance Company300638Agent - Life5/26/201111/23/2011
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities5/26/201111/23/2011
InactivePruco Life Insurance Company300954Agent - Life5/27/20117/16/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/27/20117/16/2012
InactiveTransamerica Life Insurance Company300571Agent - Life5/31/20118/15/2012
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/31/20118/15/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life2/16/20118/2/2012
DeniedUbs Financial Services Ins Agency Inc399373Agent - Health  
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities2/16/20118/2/2012

© Commonwealth of Kentucky. All rights reserved.