DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Timothy	DOIID	640656	NAIC NPN	5416767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/21/2020	8/29/2022
Inactive	Non Resident	Agent	Property	10/16/2006	7/31/2011
Inactive	Non Resident	Agent	Casualty	10/16/2006	7/31/2011
* 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. (PA)	660717	Agent - Health	10/16/2020	7/11/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/16/2020	7/11/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/16/2020	7/11/2022
Inactive	American Home Assurance Company	300246	Agent - Casualty	4/15/2009	7/31/2011
Inactive	American Home Assurance Company	300246	Agent - Property	4/15/2009	7/31/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2020	4/26/2021
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/30/2008	7/31/2011
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	12/30/2008	7/31/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/22/2009	7/31/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/22/2009	7/31/2011
Inactive	Granite State Insurance Company	300818	Agent - Casualty	4/15/2009	7/31/2011
Inactive	Granite State Insurance Company	300818	Agent - Property	4/15/2009	7/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2020	9/2/2022
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	4/15/2009	7/31/2011
Inactive	Illinois National Insurance Company	301367	Agent - Property	4/15/2009	7/31/2011
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/22/2009	7/31/2011
Inactive	LM Insurance Corporation	301061	Agent - Property	1/22/2009	7/31/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/22/2009	7/31/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/22/2009	7/31/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/22/2009	7/31/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/22/2009	7/31/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/22/2009	7/31/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/22/2009	7/31/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/15/2009	7/31/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/15/2009	7/31/2011
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	4/15/2009	7/31/2011
Inactive	New Hampshire Insurance Company	301670	Agent - Property	4/15/2009	7/31/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/16/2020	7/11/2022
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	11/20/2006	6/11/2008
Inactive	United States Fire Insurance Company	582240	Agent - Property	11/20/2006	6/11/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2020	4/28/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/31/2020	4/28/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/31/2020	4/28/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/31/2020	4/28/2021
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/30/2008	7/31/2011
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/30/2008	7/31/2011
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/30/2008	7/31/2011
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/30/2008	7/31/2011
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VERITA CSG, INC.	547391	Agent - Casualty	3/13/2009	7/25/2011
Inactive	VERITA CSG, INC.	547391	Agent - Property	3/13/2009	7/25/2011