DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, John Michael	DOIID	691014	NAIC NPN	11886163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/30/2008		9/30/2024
Active	Resident	Agent	Property	10/17/2008		9/30/2024
Active	Resident	Agent	Casualty	10/17/2008		9/30/2024
Active	Resident	Agent	Life	10/30/2008		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/5/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/5/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/7/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/7/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	4/24/2015
Active	Bristol West Insurance Company	301655	Agent - Property	4/24/2015
Active	FB Insurance Company (The)	301763	Agent - Casualty	10/17/2008
Active	FB Insurance Company (The)	301763	Agent - Health	10/30/2008
Active	FB Insurance Company (The)	301763	Agent - Property	10/17/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/6/2008	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/6/2008	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/17/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/30/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/17/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/30/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	10/1/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	10/1/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/5/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/5/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	10/1/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/1/2014