DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Nicole	DOIID	736167	NAIC NPN	15915293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/11/2013	3/31/2018
Inactive	Non Resident	Agent	Health	12/11/2013	3/31/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/30/2015	3/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/30/2015	3/31/2018
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	10/28/2015	3/31/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/24/2014	5/28/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2014	5/28/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/8/2016	3/31/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/8/2016	4/4/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/22/2015	10/3/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/24/2014	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/23/2014	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/8/2016	3/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/8/2016	3/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/23/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/23/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/24/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/24/2014	5/28/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/16/2010	1/6/2011
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/15/2017	12/12/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2010	1/6/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/8/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/8/2016	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/30/2015	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/30/2015	3/31/2018