DEPARTMENT OF INSURANCE

Affiliations

Name	O'Sullivan, Joan F	DOIID	307831	NAIC NPN	63308

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	6/4/2001	11/30/2014
Inactive	Non Resident	Agent	Life	4/30/1996	11/30/2014
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2014
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2014
Inactive	Non Resident	Agent	Health	4/30/1996	11/30/2014
Inactive	Non Resident	Agent	General Lines	8/29/1995	8/15/2000
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/11/2006	11/30/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/26/1996	1/21/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/26/1996	1/21/2004
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	6/10/2010	11/30/2014
Inactive	American Automobile Insurance Company	300953	Agent - Property	6/10/2010	11/30/2014
Inactive	American Home Assurance Company	300246	Agent - Casualty	3/6/2001	11/30/2014
Inactive	American Home Assurance Company	300246	Agent - Property	3/6/2001	11/30/2014
Inactive	Chicago Insurance Company	300295	Agent - Casualty	8/15/2000	11/30/2014
Inactive	Chicago Insurance Company	300295	Agent - General Lines	8/29/1995	8/15/2000
Inactive	Chicago Insurance Company	300295	Agent - Property	8/15/2000	11/30/2014
Inactive	Continental Casualty Company	301019	Agent - Health	5/23/1996	2/13/2002
Inactive	Everest National Insurance Company	301319	Agent - Casualty	2/10/2011	8/12/2014
Inactive	Everest National Insurance Company	301319	Agent - Property	2/10/2011	8/12/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/19/1998	12/7/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/19/1998	12/7/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/6/1999	12/9/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/6/1999	12/9/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/30/2001	12/9/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/30/2001	12/9/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	3/6/2001	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - Property	3/6/2001	3/31/2002
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Casualty	3/9/2010	1/3/2011
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	1/3/2011	11/30/2014
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Property	3/9/2010	1/3/2011
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	1/3/2011	11/30/2014
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	6/6/2008	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	6/6/2008	10/2/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/6/2001	11/30/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	3/6/2001	11/30/2014
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	3/6/2001	11/30/2014
Inactive	New Hampshire Insurance Company	301670	Agent - Property	3/6/2001	11/30/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/2/2003	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/2/2003	12/30/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/19/2008	12/2/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/19/2008	12/2/2014
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/30/2001	7/13/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/30/2001	7/13/2009
Inactive	Time Insurance Company	300683	Agent - Health	7/20/2001	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/20/2001	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/6/2008	11/30/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/6/2008	11/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/17/2002	11/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/17/2002	11/30/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/2/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/2/2003	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	3/31/1999	11/25/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	3/31/1999	11/25/2002
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	11/21/2006	11/30/2014
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	11/21/2006	11/30/2014
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	4/30/1996	12/17/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	4/30/1996	12/17/2004

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 - Life	12/9/2013	11/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	11/30/2014
Inactive	Seabury & Smith Inc	394854	Agent - Life	12/24/2013	1/2/2014
Inactive	Seabury & Smith Inc	394854	Agent - Health	12/24/2013	1/2/2014
Inactive	Seabury & Smith Inc	394854	Agent - Property	12/24/2013	1/2/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	12/24/2013	1/2/2014
Inactive	Seabury & Smith Inc	394854	Administrator - Not Applicable	6/4/2001	11/30/2014
Inactive	Seabury & Smith Inc	394854	Surplus Lines Broker - Not Applicable	12/24/2013	1/6/2014