DEPARTMENT OF INSURANCE
Affiliations
NameTracey, Shelby NizhoneDOIID911437NAIC NPN17631010
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/1/20168/15/2019 
InactiveNon ResidentAgentLife4/1/20168/15/2019 
* 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
InactiveGuardian Life Insurance Company of America301316Agent - Health12/5/201610/26/2018
InactiveGuardian Life Insurance Company of America301316Agent - Life12/5/201610/26/2018
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/18/20168/15/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/18/20168/15/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health5/18/20168/15/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life5/18/20168/15/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/25/20164/27/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/25/20164/27/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/25/20164/27/2018
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/25/20164/27/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveYourpeople Inc844313Agent - Life5/31/20163/2/2018
InactiveYourpeople Inc844313Agent - Health5/31/20163/2/2018

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