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	Inactive Date
Inactive	Non Resident	Agent	Life	5/30/2019	5/31/2025
Inactive	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.

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
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/31/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/1/2021	5/31/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/28/2019	5/31/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/1/2021	5/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/1/2021	5/31/2025
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
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	8/14/2024	5/31/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/14/2024	5/31/2025
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
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/28/2019	5/31/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/4/2024	5/31/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/16/2022	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/1/2021	5/31/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	5/31/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	5/31/2025
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