DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shackleton, Nicole Marie	DOIID	1367412	NAIC NPN	20360038

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2024		5/31/2026
Active	Non Resident	Agent	Life	10/15/2024		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	10/29/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/29/2024
Active	Humana Insurance Company	301104	Agent - Health	10/29/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	12/6/2024