DEPARTMENT OF INSURANCE
Affiliations
NameClark, Virginia NicoleDOIID1077007NAIC NPN17680703
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/5/2020 10/31/2027
* 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
ActiveAetna Health Inc. (PA)660717Agent - Health7/13/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/7/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/13/2022 
ActiveAetna Life Insurance Company301140Agent - Health7/13/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/9/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/9/2023 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/7/2022 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health3/25/2025 
InactiveGolden Rule Insurance Company301943Agent - Health3/4/202410/15/2025
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health4/9/2025 
ActiveSilverScript Insurance Company663526Agent - Health7/13/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/9/2023 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/9/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health3/16/20202/10/2025

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