DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fulgham, John	DOIID	1134313	NAIC NPN	19902556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	5/12/2021		7/31/2025
Pending Replacement	Non Resident	Agent	Property	5/12/2021		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	5/14/2021	1/9/2025
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	5/14/2021	1/9/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/27/2023	2/27/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/27/2023	2/27/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/11/2023	5/28/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/11/2023	5/28/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/11/2023	5/28/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/11/2023	5/28/2025
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/25/2022	1/9/2025
Inactive	Homesite Insurance Company	301139	Agent - Property	12/25/2022	1/9/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/25/2022	1/9/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/25/2022	1/9/2025
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/25/2022	1/9/2025
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/25/2022	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023	5/28/2025
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023	5/28/2025