DEPARTMENT OF INSURANCE
Affiliations
NameNickels, Mark DOIID598069NAIC NPN2366520
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/9/20045/31/2013 
InactiveNon ResidentAgentVariable Life and Variable Annuities11/9/20045/31/2013 
InactiveNon ResidentAgentHealth11/9/20045/31/2013 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Health4/22/20135/31/2013
InactiveAmerican General Life Insurance Company301585Agent - Life4/22/20135/31/2013
InactiveDelaware Life Insurance Company301256Agent - Life9/27/200511/26/2007
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities9/27/200511/26/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life11/24/200412/23/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities11/24/200412/23/2011
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health10/22/20077/25/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life10/22/20077/25/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities10/22/20077/25/2012
InactiveMetLife Investors Insurance Company301872Agent - Life9/27/200510/13/2008
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities9/27/200510/13/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/25/200410/13/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/25/200410/13/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life9/27/200510/13/2008
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities9/27/200510/13/2008
InactiveProtective Life Insurance Company300638Agent - Health9/7/200611/23/2009
InactiveProtective Life Insurance Company300638Agent - Life9/7/200611/23/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/7/200611/23/2009
InactivePruco Life Insurance Company300954Agent - Health10/22/20077/25/2012
InactivePruco Life Insurance Company300954Agent - Life10/22/20077/25/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities10/22/20077/25/2012
InactiveRiverSource Life Insurance Company301952Agent - Health9/15/20091/27/2010
InactiveRiverSource Life Insurance Company301952Agent - Life9/15/20091/27/2010
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities9/15/20091/27/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Health9/23/20058/31/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life9/23/20058/31/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities9/23/20058/31/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health9/23/20058/31/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life9/23/20058/31/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities9/23/20058/31/2009
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health11/9/20041/28/2013
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life11/9/20049/15/2005
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities11/9/20049/15/2005
InactiveTransamerica Life Insurance Company300571Agent - Life11/26/200410/7/2010
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities11/26/200410/7/2010
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/22/20049/23/2005
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life9/26/200512/12/2006
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities9/26/200512/12/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health11/29/20049/23/2005
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities11/29/20049/23/2005
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life11/29/20049/23/2005

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