DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cullen, Collette	DOIID	909462	NAIC NPN	16646577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/10/2016	8/31/2022
Inactive	Non Resident	Agent	Life	3/10/2016	8/31/2022
* 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	5/5/2016	8/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/27/2020	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/5/2016	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/3/2016	8/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/9/2016	5/8/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/18/2016	8/31/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/4/2016	8/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/5/2016	8/31/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	9/15/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/1/2016	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/1/2016	12/21/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/4/2016	8/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/20/2016	1/18/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/18/2019
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	1/18/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	5/13/2021

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	8/9/2016	5/10/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	8/31/2022
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019	8/31/2022