DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mostoller, Nicole A	DOIID	932486	NAIC NPN	18086121

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/10/2016		3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/9/2024
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/17/2022	3/1/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/26/2023	7/18/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	9/12/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/13/2016	3/1/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/9/2024
Active	Humana Insurance Company	301104	Agent - Health	7/9/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2016	3/1/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/9/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2023	7/18/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/26/2023	7/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024