PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFuller Jr, Glen AllenDOIID777233NAIC NPN13867840
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/14/2012 5/31/2026
ActiveNon ResidentAgentHealth3/14/2012 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican General Life Insurance Company301585Agent - Health7/2/2014 
ActiveAmerican General Life Insurance Company301585Agent - Life7/2/2014 
InactiveAmerican National Insurance Company301861Agent - Health4/9/20123/9/2021
InactiveAmerican National Insurance Company301861Agent - Life4/9/20123/16/2024
InactiveAssurity Life Insurance Company301099Agent - Health7/2/201412/14/2016
InactiveAssurity Life Insurance Company301099Agent - Life7/2/201412/14/2016
ActiveClear Spring Life and Annuity Company300919Agent - Life6/18/2021 
ActiveGuaranty Income Life Insurance Company552451Agent - Health4/20/2012 
ActiveGuaranty Income Life Insurance Company552451Agent - Life4/20/2012 
ActiveNational Western Life Insurance Company301515Agent - Life12/27/2017 
ActiveSagicor Life Insurance Company300459Agent - Life8/2/2013 
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/4/20124/8/2014
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/4/20124/8/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAlliance America Corporation564584Agent - Life5/15/2012 
ActiveAlliance America Corporation564584Agent - Health5/15/2012 
InactiveAlliance Financial Group Of Florida Inc754587Agent - Life5/15/20123/31/2019
InactiveAlliance Financial Group Of Florida Inc754587Agent - Health5/15/20123/31/2019

© Commonwealth of Kentucky. All rights reserved.