DEPARTMENT OF INSURANCE
Affiliations
NameSullenberger, Virginia DOIID923342NAIC NPN3122378
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth8/26/2019 4/30/2025
Pending ReplacementNon ResidentAgentLife5/4/2020 4/30/2025
* 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
Agent02/15/202504/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health6/23/2020 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health1/7/2020 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health7/15/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Health6/23/2020 
InactiveAmerican General Life Insurance Company301585Agent - Health5/4/20177/20/2018
InactiveAmerican General Life Insurance Company301585Agent - Life5/4/20177/20/2018
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/24/202412/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/24/202412/16/2024
InactiveC.M. Life Insurance Company301335Agent - Life8/12/201610/4/2017
Pending ReplacementCIGNA Health & Life Insurance Company301783Agent - Health12/10/2019 
Pending ReplacementCare Improvement Plus South Central Insurance Company799697Agent - Health7/16/2024 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health5/16/20187/6/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Life5/16/20187/6/2018
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/24/202412/16/2024
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/7/2020 
Pending ReplacementDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/23/2024 
InactiveFreedom Life Insurance Company of America300074Agent - Health7/14/20181/15/2019
InactiveFreedom Life Insurance Company of America300074Agent - Life7/14/20181/15/2019
InactiveHumana Health Plan, Inc.300142Agent - Health3/31/20207/30/2020
InactiveIndependence American Insurance Company524747Agent - Health4/16/20184/30/2019
InactiveLumico Life Insurance Company300354Agent - Life5/7/202012/20/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health10/15/20192/20/2022
Pending ReplacementSilverScript Insurance Company663526Agent - Health6/23/2020 
Pending ReplacementTier One Insurance Company301056Agent - Life3/27/2024 
InactiveUnited World Life Insurance Company300532Agent - Health10/15/20192/20/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/15/20192/20/2022
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Health7/16/2024 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/21/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/21/202012/23/2021
Pending ReplacementUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/16/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health12/9/20194/27/2021
InactiveEnsurem II LLC908041Agent - Life5/20/202012/20/2022
InactiveEnsurem II LLC908041Agent - Health4/28/20201/5/2024
InactiveTZ Insurance Solutions LLC727470Agent - Life10/27/20164/25/2017
DeniedTZ Insurance Solutions LLC727470Agent - Health  
InactiveUshealth Advisors Llc713288Agent - Life7/14/20181/15/2019
InactiveUshealth Advisors Llc713288Agent - Health7/14/20181/15/2019

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