DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perillo, Nicholas	DOIID	1042319	NAIC NPN	17995950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/31/2019		11/30/2027
Active	Non Resident	Agent	Life	5/31/2019		11/30/2027
* 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	11/30/2021	3/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/28/2021	3/17/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/28/2021	3/17/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	10/31/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	10/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2019	10/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/3/2019	10/31/2022
Active	CMFG Life Insurance Company	300929	Agent - Life	9/24/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	10/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/28/2021	3/17/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/28/2021	3/17/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	8/28/2019	12/28/2022
Active	MEMBERS Life Insurance Company	301289	Agent - Life	9/25/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/31/2019	12/29/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	5/31/2019	12/29/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	6/23/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	6/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	2/10/2026
Active	Ethos Technologies Inc.	934675	Agent - Health	2/10/2026