DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rodriguez, Nicole	DOIID	783344	NAIC NPN	8938693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/20/2021		8/31/2025
Active	Non Resident	Agent	Life	8/20/2021		8/31/2025
* 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	06/15/2025	08/31/2025

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	4/6/2018	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/6/2018	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/6/2018	8/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/4/2013	8/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/4/2013	8/31/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/6/2018	8/31/2019
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	7/2/2012	9/24/2018
Inactive	Dental Choice, Inc.	301702	Agent - Health	7/2/2012	3/12/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	7/15/2013	8/31/2019

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	7/4/2013	8/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/4/2013	8/31/2019