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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	03/13/2025	03/13/2025	Yes

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
Active	Accendo Insurance Company	300312	Agent - Life	9/7/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2018
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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/7/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/7/2023
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
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/7/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/7/2023
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