DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, William G F	DOIID	1092619	NAIC NPN	18510395

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/6/2020		9/30/2025
Active	Non Resident	Agent	Property	8/6/2020		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/6/2020		9/30/2025
* 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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Specialty Program Group LLC	937234	Agent - Casualty
Denied	Specialty Program Group LLC	937234	Agent - Property
Active	Specialty Program Group LLC	937234	Surplus Lines Broker - Not Applicable	10/12/2022