DEPARTMENT OF INSURANCE

Affiliations

Name	Nicholls, Robin Georg	DOIID	854063	NAIC NPN	613859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2014	3/31/2027
Active	Non Resident	Agent	Life	3/14/2020	3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	9/7/2023	6/25/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2018	6/25/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/19/2019
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	10/22/2014	12/21/2018
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/9/2020	12/12/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2023	5/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/7/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/7/2023	5/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/12/2019	10/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2020	10/29/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/3/2020	9/16/2021
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/23/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/7/2023	5/14/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2018	6/25/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/7/2023	6/25/2025
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	5/6/2019	11/22/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/21/2020	9/16/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2019	9/16/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/22/2020	9/16/2021
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	10/30/2023
Inactive	Omaha Health Insurance Company	301296	Agent - Health	1/9/2022	1/30/2025
Active	SilverScript Insurance Company	663526	Agent - Health	8/30/2019
Inactive	Tier One Insurance Company	301056	Agent - Health	9/25/2023	3/4/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	9/25/2023	3/4/2025
Active	United World Life Insurance Company	300532	Agent - Health	5/3/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/3/2019	1/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/4/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/4/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/4/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/4/2020	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Health	7/23/2019	11/1/2022
Denied	Ensurem II LLC	908041	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	3/6/2025
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	9/28/2023	3/6/2025