DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Dorene	DOIID	1213084	NAIC NPN	20312259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/24/2022	1/31/2025
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/19/2023	1/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/19/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/19/2023	1/31/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/17/2022	12/12/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/19/2023	1/31/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/9/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2022	1/10/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/6/2022	12/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	5/7/2024	12/6/2024
Inactive	Trubridge Inc	717747	Agent - Health	1/22/2024	4/26/2024