DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Joseph William	DOIID	526449	NAIC NPN	3854100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/28/2001	5/31/2018
Inactive	Non Resident	Agent	Health	5/21/2001	5/31/2020
Inactive	Non Resident	Agent	Life	5/21/2001	5/31/2020
Denied	Non Resident	Managing General Agent	Not Applicable
* 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
Inactive	ACE American Insurance Company	300625	Agent - Health	5/27/2003	1/7/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/24/2016	5/31/2020
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/24/2016	5/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Greenwood International Ins Services Inc	534013	Agent - Health	3/29/2004	7/18/2016
Inactive	Greenwood International Ins Services Inc	534013	Agent - Life	6/7/2004	7/18/2016
Inactive	Greenwood International Ins Services Inc	534013	Administrator - Not Applicable	11/28/2001	5/31/2018