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DEPARTMENT OF INSURANCE
Affiliations
Name
Black, Nadia Tanelle
DOIID
588714
NAIC NPN
8058213
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
5/5/2004
4/1/2018
Inactive
Resident
Agent
Property
9/14/2004
4/1/2018
Inactive
Resident
Agent
Casualty
9/14/2004
4/1/2018
Inactive
Resident
Agent
Life
5/4/2004
4/1/2018
Inactive
Resident
Agent
Variable Life and Variable Annuities
3/16/2005
4/1/2018
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AIG Assurance Company
300897
Agent - Casualty
12/31/2004
3/5/2008
Inactive
AIG Assurance Company
300897
Agent - Property
12/31/2004
3/5/2008
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
10/7/2008
8/10/2010
Inactive
American Fire and Casualty Company
300567
Agent - Property
10/7/2008
8/10/2010
Inactive
American Income Life Insurance Company
300256
Agent - Health
5/5/2004
5/18/2007
Inactive
American Income Life Insurance Company
300256
Agent - Life
5/4/2004
5/18/2007
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
4/20/2005
10/23/2006
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
4/20/2005
10/23/2006
Inactive
Assurity Life Insurance Company
301099
Agent - Health
10/26/2004
3/6/2008
Inactive
Assurity Life Insurance Company
301099
Agent - Life
10/26/2004
3/6/2008
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
5/3/2006
12/4/2007
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
5/3/2006
12/4/2007
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Consolidated Insurance Company
300943
Agent - Property
10/7/2008
8/10/2010
Inactive
Encova Life Insurance Company
301818
Agent - Life
7/19/2004
9/23/2004
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
12/28/2005
3/6/2008
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
12/28/2005
3/6/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/23/2005
3/17/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/23/2005
3/17/2008
Inactive
Granite State Insurance Company
300818
Agent - Casualty
6/29/2005
3/5/2008
Inactive
Granite State Insurance Company
300818
Agent - Property
6/29/2005
3/5/2008
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
1/16/2007
3/5/2008
Inactive
Illinois National Insurance Company
301367
Agent - Property
1/16/2007
3/5/2008
Inactive
Indiana Insurance Company
301909
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Indiana Insurance Company
301909
Agent - Property
10/7/2008
8/10/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/15/2010
9/14/2010
Inactive
Nationwide Assurance Company
300166
Agent - Casualty
9/15/2004
3/8/2008
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
5/24/2005
3/8/2008
Inactive
Nationwide General Insurance Company
300603
Agent - Property
5/24/2005
3/8/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
8/25/2004
9/25/2013
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
8/25/2004
9/25/2013
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
3/16/2005
1/1/2007
Denied
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
8/25/2004
9/25/2013
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Casualty
9/15/2004
3/8/2008
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Property
9/15/2004
3/8/2008
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
9/15/2004
3/8/2008
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
9/15/2004
3/8/2008
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
9/15/2004
3/8/2008
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
9/15/2004
3/8/2008
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
10/7/2008
8/10/2010
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/23/2008
9/22/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
10/7/2008
8/10/2010
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Ohio Security Insurance Company
300622
Agent - Property
10/7/2008
8/10/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
10/7/2008
8/10/2010
Inactive
Peerless Insurance Company
301910
Agent - Casualty
10/7/2008
8/10/2010
Inactive
Peerless Insurance Company
301910
Agent - Property
10/7/2008
8/10/2010
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Casualty
9/11/2007
3/5/2008
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Property
9/11/2007
3/5/2008
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
5/3/2006
12/4/2007
Inactive
State Farm Fire and Casualty Company
301809
Agent - Casualty
2/26/2016
5/11/2016
Inactive
State Farm Fire and Casualty Company
301809
Agent - Property
2/26/2016
5/11/2016
Inactive
State Farm Life Insurance Company
301810
Agent - Life
2/26/2016
5/11/2016
Inactive
State Farm Life Insurance Company
301810
Agent - Variable Life and Variable Annuities
4/14/2016
5/11/2016
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Casualty
2/26/2016
5/11/2016
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Health
2/26/2016
5/11/2016
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/21/2008
2/25/2016
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/21/2008
2/25/2016
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
5/21/2008
2/25/2016
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
5/3/2006
12/4/2007
Inactive
The Phoenix Insurance Company
301502
Agent - Property
5/3/2006
12/4/2007
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
5/27/2008
12/14/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
5/27/2008
12/14/2010
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
5/27/2008
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
5/27/2008
10/1/2008
Inactive
TravCo Insurance Company
301828
Agent - Casualty
5/3/2006
12/4/2007
Inactive
TravCo Insurance Company
301828
Agent - Property
5/3/2006
12/4/2007
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Property
5/3/2006
12/4/2007
Inactive
Travelers Commercial Insurance Company
301506
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Travelers Commercial Insurance Company
301506
Agent - Property
5/3/2006
12/4/2007
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
5/3/2006
12/4/2007
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
5/3/2006
12/4/2007
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Casualty
5/3/2006
12/4/2007
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Property
5/3/2006
12/4/2007
Inactive
Victoria Fire & Casualty Company
300313
Agent - Casualty
2/7/2007
3/8/2008
Inactive
Victoria Fire & Casualty Company
300313
Agent - Property
2/7/2007
3/8/2008
Inactive
West American Insurance Company
301112
Agent - Casualty
10/7/2008
8/10/2010
Inactive
West American Insurance Company
301112
Agent - Property
10/7/2008
8/10/2010
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Heritage Insurance Service, Inc.
399131
Agent - Life
6/29/2004
8/26/2004
Inactive
Lisa Spalding Sherman Insurance Agency Inc
399908
Agent - Health
1/23/2007
2/25/2016
Inactive
Lisa Spalding Sherman Insurance Agency Inc
399908
Agent - Life
1/23/2007
2/25/2016
Inactive
Lisa Spalding Sherman Insurance Agency Inc
399908
Agent - Casualty
1/23/2007
3/8/2008
Inactive
Lisa Spalding Sherman Insurance Agency Inc
399908
Agent - Property
1/23/2007
3/8/2008
Inactive
Medlink Inc
400721
Agent - Health
10/1/2007
2/25/2016
Inactive
Medlink Inc
400721
Agent - Life
10/1/2007
2/25/2016
Inactive
NBS Insurance Agency Inc
515576
Agent - Casualty
11/12/2004
3/8/2008
Inactive
NBS Insurance Agency Inc
515576
Agent - Property
11/12/2004
3/8/2008
Inactive
PNC Insurance Services LLC
400874
Agent - Health
5/4/2010
2/25/2016
Inactive
PNC Insurance Services LLC
400874
Agent - Life
5/4/2010
2/25/2016
Inactive
PNC Insurance Services LLC
400874
Agent - Casualty
5/4/2010
8/10/2010
Inactive
PNC Insurance Services LLC
400874
Agent - Property
5/4/2010
8/10/2010
Inactive
PNC Insurance Services LLC
400874
Agent - Variable Life and Variable Annuities
5/4/2010
2/25/2016
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