PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameRandall T Sullivan Insurance Inc.DOIID399281NAIC NPN7221553
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines2/25/19988/15/2000 
InactiveResidentAgentCasualty8/15/20009/9/2021 
InactiveResidentAgentLife2/25/19989/9/2021 
InactiveResidentAgentProperty8/15/20009/9/2021 
InactiveResidentAgentHealth2/25/19989/9/2021 
InactiveResidentAgentHealth Maintenance Organization2/25/19983/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/24/20189/9/2021
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/24/20189/9/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/17/20159/9/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/17/20159/9/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20019/21/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization2/25/19983/1/2001
InactiveAnthem Insurance Companies, Inc.300941Agent - Health8/1/200510/16/2012
InactiveFB Insurance Company (The)301763Agent - Casualty8/15/20008/29/2021
InactiveFB Insurance Company (The)301763Agent - General Lines2/25/19988/15/2000
InactiveFB Insurance Company (The)301763Agent - Property8/15/20008/29/2021
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty8/15/20008/29/2021
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - General Lines2/25/19988/15/2000
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property8/15/20008/29/2021
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health2/25/19988/29/2021
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life2/25/19988/29/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSullivan, Randall Thomas 391301Agent - Casualty8/15/20008/29/2021
InactiveSullivan, Randall Thomas 391301Agent - General Lines2/25/19988/15/2000
InactiveSullivan, Randall Thomas 391301Agent - Health2/25/19988/29/2021
InactiveSullivan, Randall Thomas 391301Agent - Life2/25/19988/29/2021
InactiveSullivan, Randall Thomas 391301Agent - Property8/15/20008/29/2021

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