Agency Information

WALMART INSURANCE SERVICES, LLC

702 SW 8TH STREET

BENTONVILLE, AR 72716

479-375-1536

producerlicensing@walmart.com

19555670

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3554446	07/02/2020	Active	07/02/2020	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/04/2022	Active	05/04/2022
Health	07/02/2020	Active	07/02/2020
Property	05/04/2022	Active	05/04/2022

Company Name	Appointment Type	Status	Active Date
16977
ANTHEM INSURANCE COMPANIES INC	Health	Active	11/15/2022
174724
Company Name	Appointment Type	Status	Active Date
HEALTH NET OF ARIZONA, INC. DBA WELLCARE; WELLCARE BY ALLWELL	Health	Active	10/03/2024
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	07/23/2020
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	11/23/2020
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	12/08/2020
11242
Company Name	Appointment Type	Status	Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	06/26/2024
	Property	Active	06/26/2024
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	07/23/2020
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	03/27/2025
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	05/06/2022

row(s) 1 - 10 of 10

Name	Association Type	Agent	Begin Date	End Date
DAVID BRIAN SULLIVAN	Designated Resp Lic Prdcr	Yes	07/02/2020	-

1 - 1