DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Solomon, Nicole Marie	DOIID	604271	NAIC NPN	8225674

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/20/2005	1/31/2008
Inactive	Non Resident	Agent	Life	9/20/2005	1/31/2008
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	10/10/2005	1/31/2008
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/10/2005	1/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/6/2006	1/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/6/2006	1/31/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/6/2005	1/31/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/6/2005	1/31/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	10/6/2005	1/31/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	10/6/2005	1/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	10/10/2005	1/28/2007
Inactive	The Farmington Company	534046	Agent - Life	10/10/2005	1/28/2007