DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hilliard, Sean	DOIID	521935	NAIC NPN	3758702

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/21/2015		3/31/2027
Active	Non Resident	Agent	Health	5/21/2015		3/31/2027
* 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	01/15/2025	03/31/2025	12/31/2024	12/31/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	11/14/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	2/20/2001	5/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/20/2001	5/31/2003
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/9/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/9/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/9/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019