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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
Inactive Date
License Expiration Date
Pending Replacement
Non Resident
Agent
Health
8/26/2019
4/30/2025
Pending Replacement
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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
02/15/2025
04/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending Replacement
Aetna Health Inc. (PA)
660717
Agent - Health
6/23/2020
Pending Replacement
Aetna Health and Life Insurance Company
300523
Agent - Health
1/7/2020
Pending Replacement
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/15/2020
Pending Replacement
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
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
6/24/2024
12/16/2024
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/24/2024
12/16/2024
Inactive
C.M. Life Insurance Company
301335
Agent - Life
8/12/2016
10/4/2017
Pending Replacement
CIGNA Health & Life Insurance Company
301783
Agent - Health
12/10/2019
Pending Replacement
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
7/16/2024
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
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
6/24/2024
12/16/2024
Pending Replacement
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
1/7/2020
Pending Replacement
Devoted Health Insurance Company of Kentucky, Inc.
1306593
Agent - Health
9/23/2024
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
Pending Replacement
SilverScript Insurance Company
663526
Agent - Health
6/23/2020
Pending Replacement
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
Pending Replacement
UnitedHealthcare Insurance Company
300946
Agent - Health
7/16/2024
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
Pending Replacement
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
7/16/2024
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
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