DEPARTMENT OF INSURANCE

Affiliations

Name	Sullenberger, Virginia	DOIID	923342	NAIC NPN	3122378

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/26/2019	4/30/2025
Active	Non Resident	Agent	Life	5/4/2020	4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/23/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/7/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/23/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	5/4/2017	7/20/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	5/4/2017	7/20/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/24/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/24/2024
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/12/2016	10/4/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/10/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/21/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/16/2018	7/6/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/16/2018	7/6/2018
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/24/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/7/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/14/2018	1/15/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/14/2018	1/15/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/31/2020	7/30/2020
Inactive	Independence American Insurance Company	524747	Agent - Health	4/16/2018	4/30/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	5/7/2020	12/20/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/15/2019	2/20/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/23/2020
Active	Tier One Insurance Company	301056	Agent - Life	3/27/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	10/15/2019	2/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/15/2019	2/20/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/21/2020	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/21/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/21/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/21/2020	2/21/2023

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	12/9/2019	4/27/2021
Inactive	Ensurem II LLC	908041	Agent - Life	5/20/2020	12/20/2022
Inactive	Ensurem II LLC	908041	Agent - Health	4/28/2020	1/5/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	10/27/2016	4/25/2017
Denied	TZ Insurance Solutions LLC	727470	Agent - Health
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/14/2018	1/15/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/14/2018	1/15/2019