DEPARTMENT OF INSURANCE
Affiliations
NameWall, Nicole MDOIID968943NAIC NPN8945324
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth9/21/2017 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health2/21/2019 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Health2/21/2019 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/1/201712/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health12/13/202112/24/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/13/202112/16/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health12/13/202112/16/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health2/28/20198/1/2020
Pending ReplacementSilverScript Insurance Company663526Agent - Health3/27/2019 
InactiveUnited World Life Insurance Company300532Agent - Health2/28/20198/1/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/28/20198/1/2020
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/201912/30/2021
Pending ReplacementWellCare Prescription Insurance Inc.654329Agent - Health10/20/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health11/1/20172/11/2025

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