DEPARTMENT OF INSURANCE

Affiliations

Name	Connolly, Nicole K	DOIID	964001	NAIC NPN	18245457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/16/2017	12/31/2021
Inactive	Non Resident	Agent	Health	8/16/2017	12/31/2021
* 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	AXIS Insurance Company	301290	Agent - Health	10/26/2017	10/10/2019
Inactive	Accendo Insurance Company	300312	Agent - Life	12/11/2020	12/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/11/2020	12/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	12/11/2020	8/11/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	3/30/2020	12/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/11/2020	12/31/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/7/2018	6/3/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/7/2018	6/3/2019
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	6/24/2020	12/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/27/2019	12/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2017	5/24/2019
Inactive	National Health Insurance Company	300554	Agent - Health	10/15/2019	7/15/2021
Inactive	National Health Insurance Company	300554	Agent - Life	10/15/2019	7/15/2021
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	10/5/2018	12/31/2021
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	7/8/2019	6/11/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	7/25/2018	5/3/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/5/2019	12/31/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	5/3/2018	12/31/2021
Inactive	Washington National Insurance Company	300587	Agent - Health	11/6/2019	8/24/2021
Inactive	Washington National Insurance Company	300587	Agent - Life	11/6/2019	8/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/9/2020	12/31/2021