DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Shane Reed	DOIID	639287	NAIC NPN	103003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/6/2006	12/31/2014
Inactive	Non Resident	Agent	Health	9/6/2006	12/31/2014
Inactive	Non Resident	Life & Health Consultant	Not Applicable	9/6/2006	12/31/2014
* 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	Aetna Health Inc.	300694	Agent - Health	9/4/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	12/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/4/2007	12/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/4/2007	12/31/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	3/17/2007	11/6/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	3/17/2007	11/6/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/4/2011	12/9/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/4/2011	12/9/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/23/2013	1/2/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/26/2012	7/15/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/26/2012	7/15/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/22/2009	12/31/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/22/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/22/2009	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/27/2012	12/31/2014
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/27/2012	12/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/31/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/24/2011	10/17/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/24/2011	10/17/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/30/2008	12/31/2014
Inactive	Humana Insurance Company	301104	Agent - Health	1/30/2008	12/31/2014
Inactive	Humana Insurance Company	301104	Agent - Life	1/30/2008	12/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2008	12/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2008	12/31/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/27/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/27/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	12/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	12/31/2014
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/9/2009	12/31/2014
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/9/2009	12/31/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	5/17/2012	6/24/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Health	9/13/2011	2/6/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	9/13/2011	2/6/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/31/2012	12/31/2014
Inactive	Time Insurance Company	300683	Agent - Health	3/5/2007	3/4/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/5/2007	3/4/2014
Inactive	United World Life Insurance Company	300532	Agent - Health	6/20/2008	8/18/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/13/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/13/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/26/2011	3/26/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/26/2011	3/26/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/17/2013	12/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/17/2013	12/31/2014
Denied	Health Agency Services	639796	Agent - Life
Denied	Health Agency Services	639796	Agent - Health
Inactive	Pacific Benefits Group NW LLC	650001	Agent - Life	3/5/2007	12/31/2014
Inactive	Pacific Benefits Group NW LLC	650001	Agent - Health	10/20/2012	12/31/2014