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DEPARTMENT OF INSURANCE
Affiliations
Name
Fulton, Kelly Joan
DOIID
787043
NAIC NPN
16547454
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
11/3/2020
6/30/2023
Inactive
Non Resident
Agent
Health
11/3/2020
6/30/2023
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
11/9/2020
7/9/2021
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
11/9/2020
7/9/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Health
11/9/2020
7/9/2021
Inactive
American General Life Insurance Company
301585
Agent - Health
1/2/2021
6/15/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
1/2/2021
6/15/2022
Inactive
SilverScript Insurance Company
663526
Agent - Health
11/9/2020
7/9/2021
Inactive
Stonebridge Life Insurance Company
301614
Agent - Health
8/2/2012
8/5/2014
Inactive
Stonebridge Life Insurance Company
301614
Agent - Life
8/2/2012
8/5/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AHB Sales LLC
787451
Agent - Life
9/21/2012
2/13/2013
Inactive
AHB Sales LLC
787451
Agent - Health
9/21/2012
2/13/2013
Inactive
Homeland Healthcare, LLC
736705
Agent - Life
9/13/2012
2/14/2013
Inactive
Homeland Healthcare, LLC
736705
Agent - Health
9/13/2012
2/14/2013
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