DEPARTMENT OF INSURANCE

Affiliations

Name	Nicklaus, David Matthew	DOIID	669175	NAIC NPN	9786373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/3/2022	2/28/2026
Active	Non Resident	Agent	Health	11/27/2007	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/11/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/1/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/11/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/1/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/2/2020	10/28/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/26/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/23/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/23/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/5/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/23/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/11/2021
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	11/21/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/21/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/8/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2024
Active	Humana Insurance Company	301104	Agent - Health	11/29/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	5/15/2025
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/22/2024
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/4/2009	11/4/2011
Active	SilverScript Insurance Company	663526	Agent - Health	6/1/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/15/2017
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/17/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/17/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/21/2008	12/19/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/17/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/23/2019
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Healthpilot Technologies Llc	1134034	Agent - Health	7/12/2022
Inactive	Unitedhealth Advisors LLC	526002	Agent - Health	5/18/2010	6/27/2017
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	12/30/2020	11/9/2022