Search → CORISSA SULLIVAN
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
CORISSA SULLIVAN
PRODUCER NON-RESIDENT
License Number:
PRN368925
Status:
First Licensure:
11/14/2020
Cancel Date:
None
Mailing:
ATHENS, TX 75751
Phone:
+1 (216) 760-1640
Fax:
+1 (336) 435-0750
Email:
corissa.sullivan@ngic.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 11/14/2020 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AFFINITY BROKERAGE LLC |
02/09/2023 | AGN55398 | 08/28/2023 | |
| CWI LLC |
02/09/2023 | AGN173565 | 08/19/2023 | |
| FETCH INS SERVICES LLC |
03/12/2024 | AGN137169 | ||
| NATIONAL GENERAL INSURANCE MARKETING INC |
02/09/2023 | AGN43510 | 08/19/2023 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMH HEALTH PLANS OF MAINE, INC. |
11/14/2020 | LHD353013 | 10/21/2021 | |
| AMH HEALTH, LLC |
11/14/2020 | HMD329485 | 10/21/2021 | |
| ANTHEM HEALTH PLANS OF MAINE INC. |
11/14/2020 | LHD70566 | 10/21/2021 | |
| AXIS INSURANCE COMPANY |
02/16/2024 | PCF134278 | ||
| CHESAPEAKE LIFE INSURANCE COMPANY |
04/05/2021 | LHF699 | 09/20/2022 | |
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
02/28/2023 | PCF445 | 05/01/2023 | |
| PROGRESSIVE NORTHERN INSURANCE COMPANY |
04/21/2023 | PCF51006 | 05/08/2023 | |
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY |
04/21/2023 | PCF27738 | 05/08/2023 | |
| XL SPECIALTY INSURANCE COMPANY |
02/15/2024 | PCF43958 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 02/09/2023 | Active | |
| HEALTH | 11/14/2020 | Active | |
| PROPERTY | 02/09/2023 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
19706205
| Address | Type |
|---|---|
| ATHENS, TX 75751 |
Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 05/15/2025 08:23:10 PM
