DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Claudette Ann	DOIID	1235292	NAIC NPN	3313277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2022		1/31/2025
Active	Non Resident	Agent	Life	10/7/2022		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	4/24/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	4/24/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/24/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/24/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/24/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/9/2022	5/23/2024
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/9/2022	5/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	11/16/2022
Active	Optavise, LLC	671337	Agent - Health	11/16/2022