DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Douglas J	DOIID	879927	NAIC NPN	17610153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	6/8/2015	4/30/2018
Pending Replacement	Non Resident	Agent	Health	5/14/2024		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/17/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/17/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	5/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/28/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/28/2024	12/16/2024
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	11/18/2024
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/20/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/28/2024	12/16/2024
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/5/2024
Pending Replacement	Emphesys Insurance Company	300598	Agent - Health	12/1/2025
Inactive	Esurance Insurance Company	301072	Agent - Personal Lines	6/10/2015	1/27/2017
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Personal Lines	6/10/2015	1/27/2017
Inactive	Heartland National Life Insurance Company	948749	Agent - Health	8/28/2024	1/3/2025
Pending Replacement	Humana Insurance Company	301104	Agent - Health	7/12/2024
Pending Replacement	Humana Medical Plan, Inc.	801568	Agent - Health	1/9/2025
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	5/17/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	5/20/2024
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Personal Lines	6/10/2015	1/27/2017