PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFulkerson, Michael GeneDOIID900613NAIC NPN14241275
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/19/2025 11/30/2027
ActiveNon ResidentAgentLife11/19/2025 11/30/2027
* 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
InactiveKanawha Insurance Company300127Agent - Health5/3/201610/14/2016
InactiveKanawha Insurance Company300127Agent - Life5/3/201610/14/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health12/20/201811/30/2019
InactiveUnited World Life Insurance Company300532Agent - Health12/20/201811/30/2019
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/20/201811/30/2019
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/20/201811/30/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTZ Insurance Solutions LLC727470Agent - Life  
DeniedTZ Insurance Solutions LLC727470Agent - Health  

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