DEPARTMENT OF INSURANCE
Affiliations
NameFulton, Kelly JoanDOIID787043NAIC NPN16547454
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/3/20206/30/2023 
InactiveNon ResidentAgentHealth11/3/20206/30/2023 
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health11/9/20207/9/2021
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/9/20207/9/2021
InactiveAetna Life Insurance Company301140Agent - Health11/9/20207/9/2021
InactiveAmerican General Life Insurance Company301585Agent - Health1/2/20216/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Life1/2/20216/15/2022
InactiveSilverScript Insurance Company663526Agent - Health11/9/20207/9/2021
InactiveStonebridge Life Insurance Company301614Agent - Health8/2/20128/5/2014
InactiveStonebridge Life Insurance Company301614Agent - Life8/2/20128/5/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAHB Sales LLC787451Agent - Life9/21/20122/13/2013
InactiveAHB Sales LLC787451Agent - Health9/21/20122/13/2013
InactiveHomeland Healthcare, LLC736705Agent - Life9/13/20122/14/2013
InactiveHomeland Healthcare, LLC736705Agent - Health9/13/20122/14/2013

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