DEPARTMENT OF INSURANCE

Affiliations

Name	Nielsen, Eric Vincent	DOIID	1268620	NAIC NPN	1327313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/13/2023	4/30/2027
Active	Non Resident	Agent	Health	4/13/2023	4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Coverage Champions Insurance Agency LLC	1386910	Agent - Life
Pending	Coverage Champions Insurance Agency LLC	1386910	Agent - Health