DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Zachary	DOIID	1016497	NAIC NPN	18952379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/24/2018	5/14/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/25/2018	5/14/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	5/14/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/25/2018	5/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/6/2018	4/26/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2019	4/9/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/25/2018	5/14/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/22/2019	4/9/2021
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2019	12/15/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/10/2019	5/14/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	5/14/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	9/10/2019	5/14/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/10/2019	5/14/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/29/2019	5/14/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/29/2019	5/14/2021

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	12/6/2018	4/27/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/15/2021