DEPARTMENT OF INSURANCE

Affiliations

Name	Nielsen, Michael A	DOIID	1045326	NAIC NPN	17152424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2019		12/31/2025
* 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	SiriusPoint America Insurance Company	301148	Agent - Health	8/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sidecar Health Insurance Solutions LLC	1027229	Agent - Health	8/7/2019