DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Carla Denise	DOIID	887586	NAIC NPN	7101789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2026	5/31/2027
Active	Non Resident	Agent	Property	9/12/2025	5/31/2027
Active	Non Resident	Agent	Life	9/28/2026	5/31/2027
Active	Non Resident	Agent	Casualty	9/12/2025	5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/2/2015	5/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/15/2025	1/23/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/15/2025	1/23/2026
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/13/2022	11/22/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/13/2022	11/22/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/28/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/15/2025	1/23/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/15/2025	1/23/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/15/2025	1/23/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/15/2025	1/23/2026
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/20/2021	7/20/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/20/2021	7/20/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/16/2025	1/12/2026
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/16/2025	1/12/2026
Inactive	TravCo Insurance Company	301828	Agent - Casualty	9/16/2025	1/12/2026
Inactive	TravCo Insurance Company	301828	Agent - Property	9/16/2025	1/12/2026
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/16/2025	1/12/2026
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/16/2025	1/12/2026
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	9/16/2025	1/12/2026
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	9/16/2025	1/12/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2026
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/28/2026

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 - Health	9/2/2015	5/1/2016
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Casualty	9/22/2021	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Property	9/22/2021	3/2/2023
Inactive	Patra Corporation	804810	Agent - Casualty	11/6/2025	1/14/2026
Inactive	Patra Corporation	804810	Agent - Property	11/6/2025	1/14/2026