DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Embry Lynne	DOIID	837828	NAIC NPN	1262888

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/8/2014		6/30/2026
Active	Non Resident	Agent	Casualty	4/8/2014		6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/8/2014		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	04/18/2024	04/18/2024	Yes
Surplus Lines Broker	04/15/2024	06/30/2024	04/18/2024	04/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/23/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Carpenter Marsh Fac Re LLC.	822343	Agent - Casualty
Denied	Carpenter Marsh Fac Re LLC.	822343	Agent - Property
Inactive	Carpenter Marsh Fac Re LLC.	822343	Surplus Lines Broker - Not Applicable	4/8/2014	5/6/2020
Inactive	Guy Carpenter Broking Inc	714151	Agent - Casualty	12/26/2019	5/24/2021
Inactive	Guy Carpenter Broking Inc	714151	Agent - Property	12/26/2019	5/24/2021
Inactive	Guy Carpenter Broking Inc	714151	Surplus Lines Broker - Not Applicable	11/5/2020	5/24/2021
Active	Victor Insurance Managers LLC	518018	Agent - Casualty	12/26/2019
Active	Victor Insurance Managers LLC	518018	Agent - Property	12/26/2019