DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan Sr, Randall Thomas	DOIID	391301	NAIC NPN	7209371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	9/26/1978	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	8/29/2021
Inactive	Resident	Agent	Health	9/26/1978	8/29/2021
Inactive	Resident	Agent	Life	9/26/1978	8/29/2021
Inactive	Resident	Agent	Casualty	8/15/2000	8/29/2021
* 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	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/28/2019	8/29/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/28/2019	8/29/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/1978	3/31/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/2/2012	8/29/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/2/2012	8/29/2021
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/25/2008	8/29/2021
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	1/20/1987	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/25/2008	8/29/2021
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	8/29/2021
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	9/26/1978	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	8/29/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/12/2004	8/29/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/12/2004	8/29/2021
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/11/2006	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	8/29/2021
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	9/26/1978	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	8/29/2021
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/26/1978	8/29/2021
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/26/1978	8/29/2021
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	6/26/2017

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	8/29/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	8/29/2021
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	9/8/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	9/8/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	9/8/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	9/8/2021
Inactive	Randall T Sullivan Insurance Inc.	399281	Agent - General Lines	2/25/1998	8/15/2000
Inactive	Randall T Sullivan Insurance Inc.	399281	Agent - Life	2/25/1998	8/29/2021
Inactive	Randall T Sullivan Insurance Inc.	399281	Agent - Health	2/25/1998	8/29/2021
Inactive	Randall T Sullivan Insurance Inc.	399281	Agent - Property	8/15/2000	8/29/2021
Inactive	Randall T Sullivan Insurance Inc.	399281	Agent - Casualty	8/15/2000	8/29/2021