DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Nancy	DOIID	892162	NAIC NPN	17672177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2022		8/31/2024
Inactive	Non Resident	Agent	Personal Lines	10/5/2017	8/31/2020
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	1/30/2020	4/13/2020
Inactive	Dairyland Insurance Company	301370	Agent - Personal Lines	1/24/2020	6/16/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	1/30/2020	4/13/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	10/25/2017	9/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/22/2015	2/16/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/22/2015	2/16/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/22/2015	2/16/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/12/2022	12/21/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/12/2022	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Personal Lines	2/20/2020	6/16/2020