DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Flanders, Nicole Marie	DOIID	938668	NAIC NPN	17832764

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/1/2016	9/30/2020
Inactive	Non Resident	Agent	Life	12/1/2016	9/30/2020
* 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	Prudential Insurance Company of America	300784	Agent - Health	3/16/2017	9/30/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/16/2017	9/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Johnson Rooney Welch Inc	584426	Agent - Life	8/10/2017	10/5/2020
Inactive	Johnson Rooney Welch Inc	584426	Agent - Health	8/10/2017	10/5/2020