DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Klaassen, Nichole	DOIID	682094	NAIC NPN	8643162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/17/2018	6/30/2020
Inactive	Non Resident	Agent	Health	5/28/2014	6/30/2016
Inactive	Non Resident	Agent	Casualty	4/17/2018	6/30/2020
Inactive	Non Resident	Agent	Personal Lines	6/6/2008	6/30/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/5/2009	8/12/2015
Inactive	ACE American Insurance Company	300625	Agent - Property	5/5/2009	8/12/2015
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/5/2009	8/12/2015
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/5/2009	8/12/2015
Inactive	New York Life Insurance Company	300431	Agent - Health	6/11/2014	8/18/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	2/3/2011	8/12/2015
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	2/3/2011	8/12/2015