DEPARTMENT OF INSURANCE

Affiliations

Name	Cullen, Todd W	DOIID	619822	NAIC NPN	1705081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/11/2005	6/18/2018
Inactive	Non Resident	Agent	Health	11/11/2005	6/18/2018
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	8/23/2010	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/23/2010	12/21/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/1/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/1/2012	9/3/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/23/2010	6/18/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/23/2010	6/18/2018
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/9/2013	8/6/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/9/2013	8/6/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/1/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/1/2012	9/3/2013
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/25/2013	6/18/2018
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/25/2013	6/18/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/10/2007	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/10/2007	12/18/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2009	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/21/2009	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/21/2009	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/21/2009	12/1/2016

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 - Life	12/2/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	11/2/2016
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	11/18/2015	2/9/2018
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	11/18/2015	2/9/2018