DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sulborski, Konrad	DOIID	1292276	NAIC NPN	16460433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/17/2023		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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	2/24/2025
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	3/2/2025
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/22/2025
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	2/22/2025
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	3/25/2024
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/2/2025
Inactive	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	11/1/2024	12/10/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	2/22/2025
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2024
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Unified Growth Partners	1338837	Agent - Health	8/28/2024	12/2/2024