DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Rose R	DOIID	309697	NAIC NPN	7159970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	5/1/2016
Inactive	Resident	Agent	Health	6/16/1978	5/1/2016
Inactive	Resident	Agent	Life	6/16/1978	5/1/2016
Inactive	Resident	Agent	Property	8/15/2000	5/1/2016
Inactive	Resident	Agent	General Lines	6/16/1978	8/15/2000
* 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	Agri General Insurance Company	300914	Agent - General Lines	4/11/1994	2/8/1996
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/15/2004	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/15/2004	6/23/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/16/1978	3/31/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	3/20/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	3/20/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/2/2009	3/9/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/2/2009	3/9/2015
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	1/12/2015
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	6/16/1978	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	1/12/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2004	3/20/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	3/20/2015
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/19/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/19/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	1/12/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	6/16/1978	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	1/12/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/16/1978	1/12/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/16/1978	1/12/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	6/17/2016
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	6/17/2016

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	12/13/2013	1/12/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	1/12/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	1/5/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	1/5/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	1/5/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	1/5/2015