DEPARTMENT OF INSURANCE

Affiliations

Name	Grotjohan, Nicholas D	DOIID	1009354	NAIC NPN	18906699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	9/12/2018	5/31/2024
Pending Replacement	Non Resident	Agent	Health	9/12/2018	5/31/2024
* 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
Inactive	AXIS Insurance Company	301290	Agent - Health	1/8/2021	8/24/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	11/23/2022	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	11/23/2022
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	11/17/2022
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	11/23/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/17/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	11/17/2022
Pending Replacement	American Financial Security Life Insurance Co.	301635	Agent - Health	6/2/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	12/22/2022	2/2/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	12/22/2022	2/2/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2021	10/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/29/2023	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/29/2023	10/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/31/2021	10/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/31/2021	10/25/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/30/2022	2/19/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/18/2021	6/21/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/29/2023	10/25/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	1/31/2019	10/1/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	1/31/2019	10/1/2019
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/23/2022
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/23/2022
Inactive	Federal Insurance Company	301144	Agent - Health	10/2/2019	12/30/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/18/2021	3/20/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/18/2021	3/20/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/18/2021	2/28/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/5/2018	5/4/2022
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	11/17/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/2/2019	10/22/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	6/17/2020	6/1/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/30/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/30/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/30/2022	2/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2019	5/1/2020
Pending Replacement	Designated Agent Company Inc.	681257	Agent - Health	12/10/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/12/2021	8/15/2022