DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bailey, Nicole Lynn	DOIID	615266	NAIC NPN	7903424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2005		2/28/2027
Active	Non Resident	Agent	Life	5/2/2009		2/28/2027
* 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
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/7/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/27/2005	6/11/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/24/2009	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/24/2009	12/17/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Convey Health Solutions	1206757	Agent - Health	5/24/2022
Active	United States Pharmaceutical Group LLC	620386	Agent - Health	11/27/2005
Active	United States Pharmaceutical Group LLC	620386	Agent - Life	6/26/2009