PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSullivan, Carla DeniseDOIID887586NAIC NPN7101789
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/22/2023 5/31/2025
InactiveNon ResidentAgentProperty8/9/20215/31/2023 
InactiveNon ResidentAgentLife10/10/20225/31/2023 
InactiveNon ResidentAgentCasualty8/9/20215/31/2023 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/2/20155/1/2016
InactiveBristol West Insurance Company301655Agent - Casualty9/2/20215/31/2023
InactiveBristol West Insurance Company301655Agent - Property9/2/20215/31/2023
InactiveCMFG Life Insurance Company300929Agent - Health10/13/202211/22/2022
InactiveCMFG Life Insurance Company300929Agent - Life10/13/202211/22/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/2/20215/31/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/2/20215/31/2023
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty9/20/20217/20/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Property9/20/20217/20/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health9/2/20155/1/2016
InactiveHealth Iq Insurance Services, Inc882220Agent - Casualty9/22/20213/2/2023
InactiveHealth Iq Insurance Services, Inc882220Agent - Property9/22/20213/2/2023

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