DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Nicole Lizama	DOIID	1026615	NAIC NPN	18876043

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/25/2019		5/31/2025
* 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	American Financial Security Life Insurance Co.	301635	Agent - Health	3/24/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/11/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/6/2022
Active	North River Insurance Company (The)	301739	Agent - Health	9/10/2024
Inactive	Washington National Insurance Company	300587	Agent - Health	9/9/2021	11/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/16/2019	4/21/2022