DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, David Brian	DOIID	895882	NAIC NPN	17675091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/18/2022	10/31/2025
Active	Non Resident	Agent	Life	11/26/2016	10/31/2025
Active	Non Resident	Agent	Property	4/18/2022	10/31/2025
Active	Non Resident	Agent	Health	10/17/2015	10/31/2025
Active	Non Resident	Agent	Travel	11/20/2023	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/10/2016	7/8/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/10/2016	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/24/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	10/31/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/10/2016	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/14/2016	1/7/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/10/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/14/2016	1/7/2020
Active	Humana Insurance Company	301104	Agent - Health	11/1/2021
Inactive	Humana Insurance Company	301104	Agent - Life	1/31/2019	1/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/14/2016	1/7/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/14/2016	1/7/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	1/7/2020
Active	Independence American Insurance Company	524747	Agent - Casualty	7/18/2024
Active	Independence American Insurance Company	524747	Agent - Property	7/18/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2020	10/31/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	10/23/2017
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/16/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/16/2020	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/29/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2020	10/31/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/26/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/19/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carezone Financial Services LLC	897339	Agent - Health	10/29/2015	6/11/2020
Inactive	Carezone Financial Services LLC	897339	Agent - Life	12/7/2016	6/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/10/2016	2/11/2025
Denied	Designated Agent Company Inc.	681257	Agent - Life
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Health	11/15/2022
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Casualty	11/15/2022
Active	Sam'S Club Insurance Services, LLC	1242448	Agent - Property	11/15/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Health	6/29/2020
Active	Walmart Insurance Services LLC	1087685	Agent - Casualty	5/3/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Property	5/3/2022
Active	Walmart Insurance Services LLC	1087685	Agent - Travel	11/28/2023