DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nilsen, Scott G	DOIID	698408	NAIC NPN	5069610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/26/2011	3/11/2016
Inactive	Non Resident	Agent	Life	2/2/2009	3/11/2016
Inactive	Non Resident	Agent	Health	2/2/2009	3/11/2016
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/24/2009	3/11/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/24/2009	3/11/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/24/2009	3/11/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/21/2012	1/27/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/21/2012	1/27/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chickering Claims Administrators Inc	513568	Administrator - Not Applicable	10/24/2011	3/11/2016
Inactive	Strategic Resource Company	511453	Administrator - Not Applicable	10/24/2011	3/11/2016