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
Inactive	Resident	Agent	Health Maintenance Organization	4/21/1988	3/1/2001
Inactive	Resident	Agent	Health	4/24/1992	5/30/2025
Inactive	Resident	Agent	Life	4/24/1992	5/30/2025
* 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	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
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/9/2021	5/30/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	4/15/2025
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
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/9/2021	5/30/2025
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
Inactive	Dental Care Plus Inc.	301495	Agent - Health	4/12/2018	5/30/2025
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
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/10/2005	5/30/2025
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/10/2005	5/30/2025
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
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/8/2015	5/30/2025
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/8/2015	5/30/2025
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
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	7/30/2008	5/30/2025
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	7/30/2008	5/30/2025
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/5/1997	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	12/26/2024	5/30/2025
Inactive	Standard Insurance Company	300185	Agent - Life	12/26/2024	5/30/2025
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
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	1/12/2022	5/30/2025
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	1/12/2022	5/30/2025
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
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/27/2012	5/30/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/12/2009	5/30/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/12/2009	5/30/2025
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
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	5/30/2025