DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, David Ray	DOIID	335670	NAIC NPN	7185167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/25/2019	4/1/2023
Inactive	Resident	Agent	Limited Line Credit	6/15/2011	3/31/2023
Inactive	Resident	Agent	Credit Personal Property & Unemployment	4/22/1998	8/7/2000
Inactive	Resident	Agent	Debtors Life	4/22/1999	8/7/2000
Inactive	Homestate	Agent	Vehicle Physical Damage	5/31/2001	5/31/2001
Inactive	Resident	Agent	Credit Life & Health	4/22/1998	8/7/2000
* 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 Health and Life Insurance Company	300844	Agent - Credit Life & Health	4/22/1998	8/7/2000
Inactive	American Health and Life Insurance Company	300844	Agent - Debtors Life	4/22/1999	8/7/2000
Inactive	American Health and Life Insurance Company	300844	Agent - Life	6/26/2019	6/7/2022
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	6/15/2011	6/7/2022
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/13/2016	12/15/2018
Inactive	Triton Insurance Company	300654	Agent - Credit Personal Property & Unemployment	4/22/1998	8/7/2000
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	6/15/2011	6/7/2022
Inactive	Triton Insurance Company	300654	Agent - Vehicle Physical Damage	5/10/2001	6/13/2002
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/13/2016	1/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/13/2018	2/21/2019
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	7/26/2018	6/7/2022
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	6/26/2019	6/7/2022