DEPARTMENT OF INSURANCE
Affiliations
NameSullivan, Jacqueline KellyDOIID1248944NAIC NPN20570044
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/12/2024 3/31/2026
ActiveResidentAgentHealth6/12/2024 3/31/2026
* 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
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health9/20/20242/12/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/20/20242/12/2025
InactiveAetna Life Insurance Company301140Agent - Health9/20/20242/12/2025
InactiveAmerican Income Life Insurance Company300256Agent - Health6/14/20242/12/2025
InactiveAmerican Income Life Insurance Company300256Agent - Life6/14/20242/12/2025
ActivePrimerica Life Insurance Company300970Agent - Life8/9/2024 
InactiveSilverScript Insurance Company663526Agent - Health9/20/20242/12/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Life10/1/20242/14/2025
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Health10/1/20242/12/2025

© Commonwealth of Kentucky. All rights reserved.