DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan Jr, Paul Michael	DOIID	570719	NAIC NPN	3667671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/22/2003	7/31/2026
Active	Non Resident	Agent	Health	6/6/2003	7/31/2026
* 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	05/15/2024	07/31/2024	06/10/2024	06/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/16/2013
Active	Aetna Health Insurance Company	301583	Agent - Health	9/11/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/16/2013
Active	Aetna Life Insurance Company	301140	Agent - Life	10/16/2013
Inactive	American Continental Insurance Company	643130	Agent - Health	6/29/2013	11/12/2014
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/30/2003
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	10/30/2003
Active	Anthem Life Insurance Company	301209	Agent - Life	9/22/2003
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/19/2018	12/10/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/27/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	2/24/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/26/2013	12/8/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/19/2018	12/10/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/11/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/15/2013	6/15/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/15/2013	6/15/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/19/2018	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/8/2013	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2019	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/26/2013	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Life	5/8/2013	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/19/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/19/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/19/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/19/2018	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/26/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/26/2013	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	2/17/2015	10/29/2015
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/19/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/19/2013
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/19/2013	12/1/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	CBISA Reaquisitian Corp	547026	Agent - Health	1/23/2013
Active	CBISA Reaquisitian Corp	547026	Agent - Life	1/23/2013
Active	Midwest Health Ins Assoc Llc	804743	Agent - Health	2/28/2013
Active	Midwest Health Ins Assoc Llc	804743	Agent - Life	2/28/2013