DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shine, Nicholas	DOIID	1019169	NAIC NPN	17235728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/14/2018		4/30/2025
Active	Non Resident	Agent	Life	11/14/2018		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	7/12/2022
Active	American General Life Insurance Company	301585	Agent - Life	7/12/2022
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/17/2018	4/3/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/6/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	11/17/2018
Active	Ubs Financial Services Ins Agency Inc	399373	Agent - Health	3/6/2019