DEPARTMENT OF INSURANCE

Name	Sullivan Jr., Randall Thomas	DOIID	392222	NAIC NPN	7209730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/2/1995		3/31/2028
Active	Resident	Agent	Health	2/2/1995		3/31/2028
Active	Resident	Agent	Casualty	8/15/2000		3/31/2028
Active	Resident	Agent	Property	8/15/2000		3/31/2028
Inactive	Resident	Agent	Health Maintenance Organization	2/2/1995	3/31/1997
Inactive	Resident	Agent	General Lines	2/2/1995	8/15/2000

*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	01/15/2026	03/31/2026	01/15/2026	01/15/2026	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	184 Shadowmeade Ln Mt Washington, KY 40047
Mailing	184 Shadowmeade Ln Mt Washington, KY 40047
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Tom.Sullivan@kyfb.com

Phone Information

Type	Phone
Business / Home Office	(502) 955-7338