DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Stephen Douglas	DOIID	517063	NAIC NPN	4874963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/29/2016	7/1/2019
Inactive	Resident	Agent	Life	10/25/2016	7/1/2019
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/29/2016	6/1/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/28/2011	6/30/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	2/25/2002	4/15/2002
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	2/25/2002	4/15/2002
Denied	Banner Life Insurance Company	301696	Agent - Life
Inactive	Combined Insurance Company of America	301472	Agent - Health	4/30/2007	7/23/2007
Inactive	Combined Insurance Company of America	301472	Agent - Life	4/30/2007	7/23/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/24/2001	7/1/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/24/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2002	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Health	3/1/2002	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	3/1/2002	7/1/2002
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/28/2010	1/7/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Health	4/11/2007	7/6/2007
Inactive	Sterling Life Insurance Company	301947	Agent - Life	4/11/2007	7/6/2007
Inactive	United American Insurance Company	300910	Agent - Health	11/10/2005	2/27/2006
Inactive	United American Insurance Company	300910	Agent - Life	11/16/2005	2/27/2006
Inactive	United Investors Life Insurance Company	301873	Agent - Life	11/16/2005	2/27/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2011	2/13/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/18/2011	2/13/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Health	1/25/2002	5/24/2002
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Life	1/18/2002	5/24/2002