DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Nicole Christine	DOIID	655046	NAIC NPN	9250393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/11/2017		4/30/2025
Active	Resident	Agent	Property	5/11/2017		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/4/2017	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/4/2017	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	12/4/2017	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	12/4/2017	12/13/2018
Inactive	Great American Assurance Company	300327	Agent - Casualty	5/17/2017	6/11/2019
Inactive	Great American Assurance Company	300327	Agent - Property	5/17/2017	6/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Equus Standardbred Station, Inc.	400511	Agent - Casualty
Pending	Equus Standardbred Station, Inc.	400511	Agent - Property
Pending	M & J Insurance Service Inc.	399250	Agent - Casualty
Pending	M & J Insurance Service Inc.	399250	Agent - Property
Pending	Millenium Equine Services, LLC	513637	Agent - Casualty
Pending	Millenium Equine Services, LLC	513637	Agent - Property