DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Disken, Nicole K	DOIID	343191	NAIC NPN	7188442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/28/2010
Inactive	Resident	Agent	Life	5/2/2000	7/1/2008
Inactive	Resident	Agent	Credit Life & Health	12/30/1998	8/7/2000
Inactive	Resident	Agent	Health	5/2/2000	7/1/2008
* 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 United Life Insurance Company	300498	Agent - Credit Life & Health	12/30/1998	3/31/1999
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	12/6/2007
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/30/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/28/2010
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/5/2005	1/14/2008
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/23/2003	12/16/2004
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	8/1/2000	9/29/2000
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/21/2000	12/14/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/2/2000	12/7/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/2/2000	12/7/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	10/19/2000	1/14/2008
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	10/19/2000	12/7/2007