DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Carla Denise	DOIID	887586	NAIC NPN	7101789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/10/2022	5/31/2023
Inactive	Non Resident	Agent	Casualty	8/9/2021	5/31/2023
Inactive	Non Resident	Agent	Property	8/9/2021	5/31/2023
Pending Replacement	Non Resident	Agent	Health	9/22/2023		5/31/2025
* 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	9/2/2015	5/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/2/2021	5/31/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/2/2021	5/31/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/13/2022	11/22/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/13/2022	11/22/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/2/2021	5/31/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/2/2021	5/31/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/20/2021	7/20/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/20/2021	7/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/2/2015	5/1/2016
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Casualty	9/22/2021	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Property	9/22/2021	3/2/2023