DEPARTMENT OF INSURANCE

Affiliations

Name	Myers, Nicole Lynn	DOIID	766033	NAIC NPN	7009237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/29/2011	6/30/2026
Active	Non Resident	Agent	Property	11/29/2011	6/30/2026
Active	Non Resident	Agent	Health	11/29/2011	6/30/2026
Active	Non Resident	Agent	Life	11/29/2011	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/07/2024	05/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/1/2013	2/13/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/1/2013	2/13/2015
Active	American General Life Insurance Company	301585	Agent - Health	5/6/2021
Active	American General Life Insurance Company	301585	Agent - Life	5/6/2021
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2021	6/14/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/24/2021	6/14/2022
Inactive	Humana Insurance Company	301104	Agent - Health	9/24/2021	6/14/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/24/2021	6/14/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/24/2021	6/14/2022
Inactive	Medicus Insurance Company	750731	Agent - Casualty	1/6/2012	1/1/2018
Active	Minnesota Life Insurance Company	300488	Agent - Health	6/11/2013
Active	Minnesota Life Insurance Company	300488	Agent - Life	6/11/2013
Active	NORCAL Insurance Company	301971	Agent - Casualty	9/13/2018
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	8/1/2017
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	8/1/2017
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/26/2017	8/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/26/2017	8/31/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/26/2017	8/31/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/26/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	The Hilb Group Of West Virginia LLC	867379	Agent - Life	11/6/2019
Active	The Hilb Group Of West Virginia LLC	867379	Agent - Health	11/6/2019