DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nicholas, Shelly	DOIID	1231891	NAIC NPN	20433057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2022		9/30/2026
* 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	07/15/2024	09/30/2024	09/02/2024	09/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/2/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/26/2024
Active	Humana Insurance Company	301104	Agent - Health	10/24/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	2/26/2024