DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nicholl, Chad E	DOIID	737365	NAIC NPN	15716674

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/17/2010	4/15/2024
Inactive	Non Resident	Agent	Life	3/11/2011	2/9/2022
Inactive	Non Resident	Agent	Health	3/11/2011	2/9/2022
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2011	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/6/2011	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/6/2011	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/6/2011	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
Denied	Mercer (Us) Inc	595151	Agent - Health
Denied	Mercer (Us) Inc	595151	Agent - Life
Inactive	Mercer Health & Benefits Administration Llc	656414	Administrator - Not Applicable	9/17/2010	4/15/2024
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	5/4/2011	12/1/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	5/4/2011	12/1/2016