DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaiser, Nicholas Frank	DOIID	385231	NAIC NPN	7206859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	3/15/1997	3/31/1999
Inactive	Resident	Agent	Life	12/30/1987	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	12/28/1995	12/1/2000
Inactive	Resident	Agent	Health	12/30/1987	12/1/2000
* 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 Fidelity Assurance Company	301004	Agent - Health	8/5/1997	10/8/1999
Inactive	American Fidelity Assurance Company	301004	Agent - Life	8/5/1997	10/8/1999
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/28/1995	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/31/1996	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/31/1996	12/1/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	7/12/1995	3/31/1997
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	7/12/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/5/1994	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/5/1994	3/31/1997
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/30/1987	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/30/1987	12/1/2000
Inactive	Paul Revere Protective Life Insurance Company (The)	301428	Agent - Life	1/22/1988	4/23/1999
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/29/1988	6/17/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/29/1988	6/17/1997
Inactive	Time Insurance Company	300683	Agent - Health	9/9/1988	12/1/2000
Inactive	Time Insurance Company	300683	Agent - Life	9/9/1988	12/1/2000
Inactive	Unum Insurance Company	301499	Agent - Life	1/22/1988	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Administrator - Not Applicable	3/15/1997	3/31/1999
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	12/15/1995	12/1/2000
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	12/15/1995	12/1/2000