DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps, Nicholas Carson	DOIID	674164	NAIC NPN	10310513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/30/2010	6/1/2014
Inactive	Resident	Agent	Health	9/30/2010	6/1/2014
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/25/2008	3/23/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/26/2009	6/1/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/26/2009	6/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2009	6/1/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/26/2009	6/1/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/26/2009	6/1/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/13/2009	6/1/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2009	6/1/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/13/2009	6/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/13/2009	6/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/13/2009	6/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2009	6/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2009	6/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/13/2009	6/1/2010
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/13/2009	6/1/2010
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	11/9/2009	6/1/2010
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life