DEPARTMENT OF INSURANCE

Affiliations

Name	Lebourveau, Nickolas A	DOIID	1005663	NAIC NPN	18776351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2018	1/31/2026
Active	Non Resident	Agent	Life	8/17/2018	1/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/4/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/28/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/13/2019	12/22/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	12/9/2021
Active	Cigna National Health Insurance Company	300235	Agent - Health	12/27/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/28/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/24/2018	9/22/2020
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	8/24/2018	8/8/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2018	12/10/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/22/2019	12/22/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/22/2019	12/22/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/11/2019	12/23/2022
Active	National Health Insurance Company	300554	Agent - Health	10/25/2022
Active	National Health Insurance Company	300554	Agent - Life	10/25/2022
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/25/2018	8/8/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/9/2018	10/26/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	11/24/2018	9/22/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/2/2019	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019