DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Erick Tremaine	DOIID	796738	NAIC NPN	6768659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/9/2012	7/31/2019
Inactive	Non Resident	Agent	Health	11/9/2012	7/31/2019
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/9/2018	11/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/24/2013	6/8/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2013	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/24/2013	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/24/2013	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/24/2013	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/24/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/24/2013	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/2/2019	7/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/3/2017	7/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/3/2017	7/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/3/2017	7/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/3/2017	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/15/2018	7/31/2019
Inactive	Optavise, LLC	671337	Agent - Health	10/15/2018	7/31/2019