DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ribeiro, Nicholas A	DOIID	916087	NAIC NPN	16991087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/20/2016	12/9/2019
Inactive	Non Resident	Agent	Health	5/20/2016	12/9/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/14/2018	7/9/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/14/2018	7/9/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/8/2016	12/9/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/8/2016	12/9/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/8/2016	12/9/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/8/2016	12/9/2019
Inactive	Unum Insurance Company	301499	Agent - Health	8/25/2017	12/9/2019
Inactive	Unum Insurance Company	301499	Agent - Life	8/25/2017	12/9/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	11/6/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	11/6/2018	1/7/2020
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Life
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Health