DEPARTMENT OF INSURANCE

Affiliations

Name	Hillerich, Sally Briggs	DOIID	346787	NAIC NPN	1490373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/24/1992		5/31/2025
Active	Resident	Agent	Life	4/24/1992		5/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	4/21/1988	3/1/2001
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	7/27/2004	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/27/2004	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/27/2004	9/22/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Health	4/1/2004	12/5/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/1/2004	12/5/2006
Inactive	American General Life Insurance Company	301585	Agent - Health	4/20/2020	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	4/20/2020	12/20/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/5/2010	12/1/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/5/2010	12/1/2020
Inactive	American United Life Insurance Company	300498	Agent - Health	6/8/2004	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	6/8/2004	9/29/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	2/12/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/21/1988	3/1/2001
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/9/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/9/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993
Active	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/20/2000	10/14/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/28/2009	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/28/2009	9/16/2013
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/23/1997	4/12/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/23/1997	4/12/1999
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/5/2015	12/8/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/9/2021
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	9/17/2014	12/8/2017
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	9/17/2014	12/8/2017
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	4/12/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	12/13/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/19/2007	11/15/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/19/2007	11/15/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/6/2006	1/1/2007
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Health	8/31/1994	3/31/1999
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Life	8/31/1994	3/31/1999
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/29/2006	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/29/2006	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/22/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	1/28/2009	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/28/2009	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/28/2009	10/5/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/10/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/10/2005
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/17/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/29/2005	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/29/2005	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	6/29/2005	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/29/2005	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/13/2020	12/13/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/9/2005	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/9/2005	5/13/2013
Inactive	Independence American Insurance Company	524747	Agent - Health	5/3/2018	12/30/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/5/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/5/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	5/12/2014	10/29/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/14/2007	7/14/2014
Inactive	Medical Life Insurance Company	300693	Agent - Health	12/30/1996	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	12/30/1996	12/31/2004
Active	Metropolitan Life Insurance Company	301948	Agent - Health	5/8/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	5/8/2015
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/7/1997	3/31/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/18/2009	11/18/2010
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/3/2010	9/19/2013
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/3/2010	9/19/2013
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/11/2004	12/3/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/11/2004	12/3/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/21/1997	12/13/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/26/1996	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/26/1996	9/5/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/7/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/7/2008	12/23/2014
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/21/1997	1/2/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	6/30/2005
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	7/30/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	7/30/2008
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/5/1997	10/1/2003
Active	Standard Insurance Company	300185	Agent - Health	12/26/2024
Active	Standard Insurance Company	300185	Agent - Life	12/26/2024
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/7/2017	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/7/2017	12/26/2018
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	1/12/2022
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	1/12/2022
Inactive	Time Insurance Company	300683	Agent - Health	3/12/2004	3/31/2011
Inactive	Time Insurance Company	300683	Agent - Life	3/12/2004	3/31/2011
Inactive	Union Security Insurance Company	301844	Agent - Health	6/29/2011	1/12/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	6/29/2011	1/12/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/3/2008	7/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/3/2008	7/31/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/3/2008	7/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/3/2008	7/31/2013
Inactive		300277	Agent - Life	12/13/2001	12/10/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/16/1994	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	5/16/1994	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/15/2004	2/17/2009
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/15/2004	2/17/2009
Active	Dental Choice Agency Inc.	398085	Agent - Health	3/27/2012
Active	Designated Agent Company Inc.	681257	Agent - Health	2/12/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	2/12/2009
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Health	2/24/2009	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	2/24/2009	3/31/2024
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014