PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBlais, Nicole RoseDOIID856615NAIC NPN9746868
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/15/201410/5/2016 
InactiveNon ResidentAgentHealth10/15/201410/5/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Retirement Life Insurance Company706303Agent - Health11/10/20149/18/2015
InactiveAmerican Retirement Life Insurance Company706303Agent - Life11/10/20149/18/2015
InactiveAnthem Life Insurance Company301209Agent - Life11/18/201410/5/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health10/20/201512/13/2016
InactiveDental Concern Inc. (The)301641Agent - Health10/20/201512/13/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/20/201510/5/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/20/201510/5/2016
InactiveHumana Health Plan, Inc.300142Agent - Health10/20/201510/5/2016
InactiveHumana Insurance Company301104Agent - Health10/20/201510/5/2016
InactiveHumana Insurance Company301104Agent - Life10/20/201510/5/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/20/201510/5/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/20/201510/5/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/20/201510/5/2016
DeniedHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health  
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/18/201412/20/2016
InactiveDesignated Agent Company Inc.681257Agent - Health11/18/20149/17/2015

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