DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Nicole	DOIID	1165826	NAIC NPN	20061667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2021		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/31/2022	8/16/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	4/26/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/12/2021	12/9/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/12/2021	12/9/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/12/2021	12/9/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/29/2023	7/28/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/12/2021	12/9/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/31/2022	8/16/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/26/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2023	7/28/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/12/2023	7/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	3/14/2024