DEPARTMENT OF INSURANCE

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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Encompass Indemnity Company	546376	Agent - Casualty	12/4/2017
Active	Encompass Indemnity Company	546376	Agent - Property	12/4/2017
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
Active	Equus Standardbred Station, Inc.	400511	Agent - Casualty	5/17/2017
Active	Equus Standardbred Station, Inc.	400511	Agent - Property	5/17/2017
Active	M & J Insurance Service Inc.	399250	Agent - Casualty	6/26/2019
Active	M & J Insurance Service Inc.	399250	Agent - Property	6/26/2019
Active	Millenium Equine Services, LLC	513637	Agent - Casualty	5/17/2017
Active	Millenium Equine Services, LLC	513637	Agent - Property	5/17/2017