DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bullecks, Andrew	DOIID	908597	NAIC NPN	17329393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/3/2016	3/31/2020
Inactive	Non Resident	Agent	Health	3/3/2016	3/31/2020
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2016	4/30/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/18/2016	7/3/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/3/2016	6/18/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/28/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/1/2016	3/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/20/2016	12/18/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/18/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/20/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/20/2016	12/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/14/2016	3/31/2020
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/15/2019	3/31/2020
Denied	Mercer Health & Benefits Administration Llc	656414	Agent - Life