DEPARTMENT OF INSURANCE
Affiliations
NameGroman, Nicholas RDOIID1202318NAIC NPN19771291
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/29/2022 12/31/2024
ActiveNon ResidentAgentVariable Life and Variable Annuities4/29/2022 12/31/2024
ActiveNon ResidentAgentLife4/29/2022 12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrighthouse Life Insurance Company301829Agent - Health3/21/2024 
ActiveBrighthouse Life Insurance Company301829Agent - Life3/21/2024 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities3/21/2024 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/3/2024 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities4/3/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/21/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/21/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/21/2022 
ActivePenn Insurance and Annuity Company300712Agent - Life9/15/2022 
ActivePenn Mutual Life Insurance Company301394Agent - Life9/15/2022 
ActivePrincipal Life Insurance Company300129Agent - Health8/11/2023 
ActivePrincipal Life Insurance Company300129Agent - Life8/11/2023 
ActiveProtective Life Insurance Company300638Agent - Health12/27/2023 
ActiveProtective Life Insurance Company300638Agent - Life12/27/2023 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/27/2023 
ActivePruco Life Insurance Company300954Agent - Life5/25/2022 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/25/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAvantax Insurance Agency, LLC398671Agent - Life7/25/2023 
ActiveAvantax Insurance Agency, LLC398671Agent - Health7/25/2023 
ActiveAvantax Insurance Agency, LLC398671Agent - Variable Life and Variable Annuities7/25/2023 

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