DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nuckols, Terry David	DOIID	332492	NAIC NPN	7180335

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/31/2007	12/1/2014
Inactive	Resident	Agent	Health	9/11/2007	12/1/2014
* 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
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/19/2012	11/4/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/19/2012	11/4/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/10/2011	12/17/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/10/2011	12/17/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/4/2001	7/31/2001
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/4/2001	7/31/2001
Inactive	Continental General Insurance Company	300691	Agent - Health	11/6/1997	3/14/2003
Inactive	Everly Life Insurance Company	561641	Agent - Life	6/18/2012	10/23/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/12/2011	8/21/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/12/2011	8/21/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/6/2011	12/15/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/6/2011	12/15/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/30/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/30/2011	12/26/2012
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	10/15/2007	9/8/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	9/13/2007	9/8/2014
Inactive	World Insurance Company	300396	Agent - Health	7/10/2012	1/2/2013
Inactive	World Insurance Company	300396	Agent - Life	7/10/2012	1/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	7/19/2004	9/1/2005
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	7/19/2004	9/1/2005