DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller Jr, Glen Allen	DOIID	777233	NAIC NPN	13867840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/14/2012		5/31/2026
Active	Non Resident	Agent	Life	3/14/2012		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	7/2/2014
Active	American General Life Insurance Company	301585	Agent - Life	7/2/2014
Inactive	American National Insurance Company	301861	Agent - Health	4/9/2012	3/9/2021
Inactive	American National Insurance Company	301861	Agent - Life	4/9/2012	3/16/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/2/2014	12/14/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/2/2014	12/14/2016
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	6/18/2021
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	4/20/2012
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	4/20/2012
Active	National Western Life Insurance Company	301515	Agent - Life	12/27/2017
Active	Sagicor Life Insurance Company	300459	Agent - Life	8/2/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/4/2012	4/8/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/4/2012	4/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliance America Corporation	564584	Agent - Life	5/15/2012
Active	Alliance America Corporation	564584	Agent - Health	5/15/2012
Inactive	Alliance Financial Group Of Florida Inc	754587	Agent - Life	5/15/2012	3/31/2019
Inactive	Alliance Financial Group Of Florida Inc	754587	Agent - Health	5/15/2012	3/31/2019