DEPARTMENT OF INSURANCE

Affiliations

Name	Boren, Nicole	DOIID	597969	NAIC NPN	8301332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/18/2015	11/30/2019
Inactive	Resident	Agent	Limited Line Credit	11/3/2004	7/27/2006
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	11/18/2015	11/30/2019
Inactive	Non Resident	Agent	Life	11/18/2015	11/30/2019
* 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	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	1/28/2005	4/19/2006
Inactive	Bestow Life Insurance Company	300577	Agent - Limited Line Credit	11/3/2004	2/17/2006
Inactive	Centurion Casualty Company	301715	Agent - Limited Line Credit	11/3/2004	2/17/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority
Denied	Concourse Financial Group Securities, Inc.	554596	Agent - Health
Denied	Concourse Financial Group Securities, Inc.	554596	Agent - Life
Denied	Concourse Financial Group Securities, Inc.	554596	Agent - Variable Life and Variable Annuities
Denied	Wells Fargo Financial Kentucky, Inc.	544819	Agent - Limited Line Credit