DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Matthew Joseph	DOIID	610781	NAIC NPN	8487880

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/21/2013	3/31/2019
Inactive	Non Resident	Agent	Health	6/23/2005	3/31/2019
* 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	Aetna Health Inc.	300694	Agent - Health	7/18/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	5/22/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/18/2005	5/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Christie Student Health Plans LLC	824646	Administrator - Not Applicable	10/21/2013	3/31/2019
Denied	Usi Insurance Services LLC	669260	Agent - Health
Inactive	Usi Insurance Services LLC	669260	Administrator - Not Applicable	2/15/2017	3/31/2019