DEPARTMENT OF INSURANCE
Affiliations
NameSullenberger, Virginia DOIID923342NAIC NPN3122378
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/4/20204/30/2025 
InactiveNon ResidentAgentHealth8/26/20194/30/2025 
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health6/23/20204/30/2025
InactiveAetna Health and Life Insurance Company300523Agent - Health1/7/20204/30/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/15/20204/30/2025
InactiveAetna Life Insurance Company301140Agent - Health6/23/20204/30/2025
InactiveAmerican General Life Insurance Company301585Agent - Health5/4/20177/20/2018
InactiveAmerican General Life Insurance Company301585Agent - Life5/4/20177/20/2018
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/24/202412/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/24/202412/16/2024
InactiveC.M. Life Insurance Company301335Agent - Life8/12/201610/4/2017
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/10/20194/30/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/16/20246/5/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Health5/16/20187/6/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Life5/16/20187/6/2018
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/24/202412/16/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/7/20204/30/2025
InactiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/23/20244/30/2025
InactiveFreedom Life Insurance Company of America300074Agent - Health7/14/20181/15/2019
InactiveFreedom Life Insurance Company of America300074Agent - Life7/14/20181/15/2019
InactiveHumana Health Plan, Inc.300142Agent - Health3/31/20207/30/2020
InactiveIndependence American Insurance Company524747Agent - Health4/16/20184/30/2019
InactiveLumico Life Insurance Company300354Agent - Life5/7/202012/20/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health10/15/20192/20/2022
InactiveSilverScript Insurance Company663526Agent - Health6/23/20204/30/2025
InactiveTier One Insurance Company301056Agent - Life3/27/20244/30/2025
InactiveUnited World Life Insurance Company300532Agent - Health10/15/20192/20/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/15/20192/20/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/16/20246/5/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/21/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/21/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/16/20246/5/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health12/9/20194/27/2021
InactiveEnsurem II LLC908041Agent - Life5/20/202012/20/2022
InactiveEnsurem II LLC908041Agent - Health4/28/20201/5/2024
InactiveTZ Insurance Solutions LLC727470Agent - Life10/27/20164/25/2017
DeniedTZ Insurance Solutions LLC727470Agent - Health  
InactiveUshealth Advisors Llc713288Agent - Life7/14/20181/15/2019
InactiveUshealth Advisors Llc713288Agent - Health7/14/20181/15/2019

© Commonwealth of Kentucky. All rights reserved.