DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Sheridan Leigh	DOIID	756339	NAIC NPN	11108574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/16/2011	4/30/2018
Inactive	Non Resident	Agent	Life	6/16/2011	4/30/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/6/2014	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/6/2014	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/6/2014	4/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	10/1/2011	4/3/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	10/1/2011	4/3/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/1/2014	4/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/1/2014	4/30/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/17/2016	11/11/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/17/2016	11/11/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2016	6/14/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/27/2012	2/8/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/27/2012	2/8/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/4/2016	6/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/29/2017	5/2/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/29/2017	5/2/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/10/2015	10/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/4/2016	6/14/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/22/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/18/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/18/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/22/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/22/2015	11/3/2015
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/1/2018	4/30/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	4/16/2012	7/5/2016
Inactive	Time Insurance Company	300683	Agent - Health	10/12/2011	4/30/2018
Inactive	Time Insurance Company	300683	Agent - Life	10/12/2011	4/30/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/20/2015	12/12/2017
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/28/2012	4/30/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	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 - Life	4/4/2014	4/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/4/2014	4/30/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	4/30/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	4/30/2018