DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Nadia TanelleDOIID588714NAIC NPN8058213
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth5/5/20044/1/2018 
InactiveResidentAgentProperty9/14/20044/1/2018 
InactiveResidentAgentCasualty9/14/20044/1/2018 
InactiveResidentAgentLife5/4/20044/1/2018 
InactiveResidentAgentVariable Life and Variable Annuities3/16/20054/1/2018 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty12/31/20043/5/2008
InactiveAIG Assurance Company300897Agent - Property12/31/20043/5/2008
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/7/20088/10/2010
InactiveAmerican Fire and Casualty Company300567Agent - Property10/7/20088/10/2010
InactiveAmerican Income Life Insurance Company300256Agent - Health5/5/20045/18/2007
InactiveAmerican Income Life Insurance Company300256Agent - Life5/4/20045/18/2007
InactiveAmeritas Life Insurance Corporation300126Agent - Health4/20/200510/23/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/20/200510/23/2006
InactiveAssurity Life Insurance Company301099Agent - Health10/26/20043/6/2008
InactiveAssurity Life Insurance Company301099Agent - Life10/26/20043/6/2008
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty5/3/200612/4/2007
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property5/3/200612/4/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty5/3/200612/4/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property5/3/200612/4/2007
InactiveConsolidated Insurance Company300943Agent - Casualty10/7/20088/10/2010
InactiveConsolidated Insurance Company300943Agent - Property10/7/20088/10/2010
InactiveEncova Life Insurance Company301818Agent - Life7/19/20049/23/2004
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/28/20053/6/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/28/20053/6/2008
InactiveGolden Rule Insurance Company301943Agent - Health11/23/20053/17/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/23/20053/17/2008
InactiveGranite State Insurance Company300818Agent - Casualty6/29/20053/5/2008
InactiveGranite State Insurance Company300818Agent - Property6/29/20053/5/2008
InactiveIllinois National Insurance Company301367Agent - Casualty1/16/20073/5/2008
InactiveIllinois National Insurance Company301367Agent - Property1/16/20073/5/2008
InactiveIndiana Insurance Company301909Agent - Casualty10/7/20088/10/2010
InactiveIndiana Insurance Company301909Agent - Property10/7/20088/10/2010
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life2/15/20109/14/2010
InactiveNationwide Assurance Company300166Agent - Casualty9/15/20043/8/2008
InactiveNationwide General Insurance Company300603Agent - Casualty5/24/20053/8/2008
InactiveNationwide General Insurance Company300603Agent - Property5/24/20053/8/2008
InactiveNationwide Life Insurance Company300495Agent - Health8/25/20049/25/2013
InactiveNationwide Life Insurance Company300495Agent - Life8/25/20049/25/2013
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities3/16/20051/1/2007
DeniedNationwide Life and Annuity Insurance Company300714Agent - Health  
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life8/25/20049/25/2013
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty9/15/20043/8/2008
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property9/15/20043/8/2008
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/15/20043/8/2008
InactiveNationwide Mutual Insurance Company301749Agent - Property9/15/20043/8/2008
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty9/15/20043/8/2008
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property9/15/20043/8/2008
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/7/20088/10/2010
InactiveNetherlands Insurance Company (The)300339Agent - Property10/7/20088/10/2010
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/23/20089/22/2010
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/7/20088/10/2010
InactiveOhio Casualty Insurance Company301492Agent - Property10/7/20088/10/2010
InactiveOhio Security Insurance Company300622Agent - Casualty10/7/20088/10/2010
InactiveOhio Security Insurance Company300622Agent - Property10/7/20088/10/2010
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/7/20088/10/2010
InactivePeerless Indemnity Insurance Company571682Agent - Property10/7/20088/10/2010
InactivePeerless Insurance Company301910Agent - Casualty10/7/20088/10/2010
InactivePeerless Insurance Company301910Agent - Property10/7/20088/10/2010
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20073/5/2008
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20073/5/2008
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/3/200612/4/2007
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/3/200612/4/2007
InactiveState Farm Fire and Casualty Company301809Agent - Casualty2/26/20165/11/2016
InactiveState Farm Fire and Casualty Company301809Agent - Property2/26/20165/11/2016
InactiveState Farm Life Insurance Company301810Agent - Life2/26/20165/11/2016
InactiveState Farm Life Insurance Company301810Agent - Variable Life and Variable Annuities4/14/20165/11/2016
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty2/26/20165/11/2016
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Health2/26/20165/11/2016
InactiveSymetra Life Insurance Company301691Agent - Health5/21/20082/25/2016
InactiveSymetra Life Insurance Company301691Agent - Life5/21/20082/25/2016
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities5/21/20082/25/2016
InactiveThe Phoenix Insurance Company301502Agent - Casualty5/3/200612/4/2007
InactiveThe Phoenix Insurance Company301502Agent - Property5/3/200612/4/2007
InactiveTransamerica Life Insurance Company300571Agent - Life5/27/200812/14/2010
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/27/200812/14/2010
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life5/27/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities5/27/200810/1/2008
InactiveTravCo Insurance Company301828Agent - Casualty5/3/200612/4/2007
InactiveTravCo Insurance Company301828Agent - Property5/3/200612/4/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty5/3/200612/4/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Property5/3/200612/4/2007
InactiveTravelers Commercial Insurance Company301506Agent - Casualty5/3/200612/4/2007
InactiveTravelers Commercial Insurance Company301506Agent - Property5/3/200612/4/2007
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/3/200612/4/2007
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/3/200612/4/2007
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/3/200612/4/2007
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/3/200612/4/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty5/3/200612/4/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Property5/3/200612/4/2007
InactiveVictoria Fire & Casualty Company300313Agent - Casualty2/7/20073/8/2008
InactiveVictoria Fire & Casualty Company300313Agent - Property2/7/20073/8/2008
InactiveWest American Insurance Company301112Agent - Casualty10/7/20088/10/2010
InactiveWest American Insurance Company301112Agent - Property10/7/20088/10/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHeritage Insurance Service, Inc.399131Agent - Life6/29/20048/26/2004
InactiveLisa Spalding Sherman Insurance Agency Inc399908Agent - Health1/23/20072/25/2016
InactiveLisa Spalding Sherman Insurance Agency Inc399908Agent - Life1/23/20072/25/2016
InactiveLisa Spalding Sherman Insurance Agency Inc399908Agent - Casualty1/23/20073/8/2008
InactiveLisa Spalding Sherman Insurance Agency Inc399908Agent - Property1/23/20073/8/2008
InactiveMedlink Inc400721Agent - Health10/1/20072/25/2016
InactiveMedlink Inc400721Agent - Life10/1/20072/25/2016
InactiveNBS Insurance Agency Inc515576Agent - Casualty11/12/20043/8/2008
InactiveNBS Insurance Agency Inc515576Agent - Property11/12/20043/8/2008
InactivePNC Insurance Services LLC400874Agent - Health5/4/20102/25/2016
InactivePNC Insurance Services LLC400874Agent - Life5/4/20102/25/2016
InactivePNC Insurance Services LLC400874Agent - Casualty5/4/20108/10/2010
InactivePNC Insurance Services LLC400874Agent - Property5/4/20108/10/2010
InactivePNC Insurance Services LLC400874Agent - Variable Life and Variable Annuities5/4/20102/25/2016

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