DEPARTMENT OF INSURANCE

Affiliations

Name	Jones Gyllstrom, Nicole	DOIID	709596	NAIC NPN	7984767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/30/2009	4/30/2021
Inactive	Non Resident	Agent	Health	7/30/2009	4/30/2021
* 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	1/20/2012	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/20/2012	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/20/2012	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/5/2012	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/5/2012	4/30/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/16/2011	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/16/2011	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/16/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/16/2011	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/16/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/16/2011	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/16/2011	9/3/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/15/2016	4/30/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/15/2016	4/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/1/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/1/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/1/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/1/2010	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	9/10/2012	4/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/6/2012	10/19/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/6/2012	10/19/2018
Denied	Mercer Health & Benefits LLC	607080	Agent - Health
Denied	Mercer Health & Benefits LLC	607080	Agent - Life
Inactive	Relation Insurance Services of California, Inc.	741250	Agent - Health	10/29/2010	6/17/2015
Inactive	Relation Insurance Services of California, Inc.	741250	Agent - Life	10/29/2010	6/17/2015