DEPARTMENT OF INSURANCE

Affiliations

Name	Coubal, Nicole Ann	DOIID	1042172	NAIC NPN	19151884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/30/2019	5/31/2025
Active	Non Resident	Agent	Health	5/30/2019	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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 Inc. (PA)	660717	Agent - Health	4/1/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/28/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/1/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	6/28/2019	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	3/22/2021	6/17/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/22/2021	6/17/2022
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	8/14/2024
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/14/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2021	11/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	11/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	11/5/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/20/2024	12/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	11/5/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/28/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/4/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/16/2022	12/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/1/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	7/19/2019	10/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/2/2021	9/24/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/2/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/2/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/2/2021	9/24/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024	8/21/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024	8/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Life	4/8/2021	11/1/2022
Inactive	Ensurem II LLC	908041	Agent - Health	4/8/2021	11/1/2022