DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Melanie	DOIID	917209	NAIC NPN	17953719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/2/2016	6/30/2018
Inactive	Non Resident	Agent	Casualty	6/2/2016	6/30/2018
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	10/11/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	10/11/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/3/2016	10/19/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/3/2016	10/19/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/15/2016	11/12/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	6/15/2016	11/12/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	6/15/2016	11/12/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	6/15/2016	11/12/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/3/2016	10/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/3/2016	10/19/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/15/2016	10/18/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/15/2016	10/18/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/15/2016	10/18/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/15/2016	10/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	6/17/2016	10/13/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	6/17/2016	10/13/2017