DEPARTMENT OF INSURANCE

Affiliations

Name	Fulladosa, Anthony	DOIID	824626	NAIC NPN	17084367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	10/16/2013	5/31/2023
Inactive	Non Resident	Agent	Health	2/12/2019	5/31/2023
Inactive	Non Resident	Agent	Life	2/12/2019	5/31/2023
* 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	Accendo Insurance Company	300312	Agent - Health	3/15/2023	5/31/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/15/2023	5/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/15/2023	5/31/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/19/2019	7/23/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	7/11/2022	5/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	7/11/2022	5/31/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/21/2023	5/31/2023
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/29/2021	5/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/15/2023	5/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/15/2023	5/31/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	1/17/2014	10/14/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	11/29/2021	5/31/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/5/2019	9/20/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/5/2019	9/20/2019
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	1/17/2014	1/4/2018
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	1/17/2014	1/4/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	1/17/2014	1/4/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	1/17/2014	10/14/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	1/17/2014	10/14/2016
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	1/18/2021	9/14/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/19/2022	5/31/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	10/6/2021	1/9/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	2/9/2022	7/20/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	2/9/2022	7/20/2022
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Personal Lines	11/29/2021	8/30/2022
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Personal Lines	11/29/2021	8/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Iq Insurance Services, Inc	882220	Agent - Life
Denied	Health Iq Insurance Services, Inc	882220	Agent - Health
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/13/2019	7/23/2020
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Personal Lines	1/18/2021	9/15/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/5/2019	9/20/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/5/2019	9/20/2019