DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, David Brian	DOIID	895882	NAIC NPN	17675091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/18/2022	10/31/2025
Active	Non Resident	Agent	Life	11/26/2016	10/31/2025
Active	Non Resident	Agent	Property	4/18/2022	10/31/2025
Active	Non Resident	Agent	Health	10/17/2015	10/31/2025
Active	Non Resident	Agent	Travel	11/20/2023	10/31/2025
* 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	5/10/2016	7/8/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/10/2016	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/24/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	10/31/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/10/2016	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/14/2016	1/7/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/10/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/14/2016	1/7/2020
Active	Humana Insurance Company	301104	Agent - Health	11/1/2021
Inactive	Humana Insurance Company	301104	Agent - Life	1/31/2019	1/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/14/2016	1/7/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/14/2016	1/7/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	1/7/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2020	10/31/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	10/23/2017
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/16/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/16/2020	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/29/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2020	10/31/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/26/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/19/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carezone Financial Services LLC	897339	Agent - Health	10/29/2015	6/11/2020
Inactive	Carezone Financial Services LLC	897339	Agent - Life	12/7/2016	6/11/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	8/10/2016
Denied	Designated Agent Company Inc.	681257	Agent - Life
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Health	11/15/2022
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Casualty	11/15/2022
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Property	11/15/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Health	6/29/2020
Active	Walmart Insurance Services LLC	1087685	Agent - Casualty	5/3/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Property	5/3/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Travel	11/28/2023